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Credentialing Specialist, Clinic Administration
4 weeks ago
Responsible for the day-to-day credentialing tasks to include payer enrollment, revalidations, and other miscellaneous tasks as required by payers. Serves as the initial point of contact for contracted providers, insurance companies and other related entities. Maintains databases and spreadsheets as needed for tracking and organizing credentialing information. Works with leadership to ensure efficient credentialing processes and workflows and assists in resolution of barriers and complications.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health system organization policies and procedures.
Education/License/Experience Requirements:
- High School Diploma or equivalent required.
- Associate degree preferred.
- Minimum three (3) years' experience in a business office
- Experience in hospital/payer credentialing or hospital billing preferred
- Knowledge of database development and maintenance
- Strong communication and organizational skills
- Detail oriented
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