Healthcare Credentialing Specialist
3 weeks ago
Optima Medical is a leading Arizona-based healthcare organization, operating 23 locations and employing over 90 medical providers. We serve more than 120,000 patients across the state, striving to improve the quality of life for our communities by providing personalized healthcare solutions. Our goal is to help people Live Better, Live Longer, with a focus on preventing the nation's leading causes of death through comprehensive care, including cardiovascular health, behavioral health, allergy testing, immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty services.
Credentialing Specialist Responsibilities:
- Monitor expiring licensure, board, and professional certifications, along with all other expirable documents
- Process initial and re-credentialing applications
- Respond to health plan provider inquiries
- Maintain and update provider profiles on CAQH, PECOS, and NPPES
- Track credentialing and enrollment applications daily
- Update necessary departments on credentialing changes
- 2 years of healthcare experience
- 1 year of ADP experience
- High level of professionalism
- Excellent written and verbal communication skills
- Advanced knowledge of Microsoft Word
- Strong Excel and spreadsheet capabilities
- Ability to meet deadlines and work well under pressure
- Attention to detail and time-oriented
- Substantial growth opportunities
- Leadership and mentoring
- Resources to further career
- Fun work environment
- Benefits
- Supportive and positive work environment
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