Credentialing Specialist
19 hours ago
We are seeking a highly organized and meticulous Credentialing Specialist to join our team at OnPoint Medical Group. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of provider credentialing information.
Key Responsibilities:- Process initial credentialing and re-credentialing applications for healthcare providers
- Screen practitioners' applications and supporting documentation to verify eligibility
- Identify discrepancies in information and conduct follow-up investigations
- Maintain internal and external databases, including CAQH, PECOS, and NPPES
- Assist customers with credentialing inquiries and respond to health plan providers' inquiries
- Perform audits of health plan directories and ensure accurate provider information
- Manage CAQH creation and maintenance, Medicare and Medicaid enrollment, and revalidation
- Perform provider roster reconciliation and initial and reappointment of hospital privileges
- High school diploma or GED required; Bachelor's degree preferred
- 3+ years of credentialing experience
- Certified Provider Credentials Specialist (CPCS) certification preferred
- Knowledge of Medicare and Medicaid enrollment and revalidation procedures
- Excellent verbal and written communication skills
- Proficient in Microsoft Office Word and Excel, with experience in Vlookup
- Ability to work independently and as part of a team
- Competitive hourly wage: $20-$27
- Health insurance plan options for you and your dependents
- Dental and vision insurance for you and your qualified dependents
- Company-paid life insurance
- Voluntary options for short-term disability and long-term disability coverage
- AFLAC plans
- FSA options
- Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
- Paid time-off earned
OnPoint Medical Group is an EEO Employer.
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