Credentialing Specialist
2 weeks ago
SouthCoast Health is looking for a dedicated credentialing specialist to enhance our team.
This position is responsible for overseeing the credentialing and re-credentialing procedures for all healthcare professionals associated with SouthCoast Health. The role requires meticulous documentation management and serves as a liaison between healthcare providers and facilities.
Essential Qualifications:
- Exemplary professionalism in communications with diverse stakeholders.
- Capability to operate independently while maintaining a constructive attitude.
- Robust problem-solving abilities and capacity to manage stress and deadlines effectively.
Main Duties:
- Administer the credentialing and re-credentialing processes for SouthCoast Health practitioners across multiple healthcare organizations.
- Ensure that practitioners uphold required licenses and credentials with third-party payers and medical institutions.
- Foster relationships with insurance providers and ensure accurate contract management.
- Organize training sessions for administrative personnel regarding insurance protocols and procedures.
Education and Experience:
A bachelor's degree in business administration or a related discipline, or equivalent professional experience. A minimum of five years of experience in managing a sizable medical practice. Proficient in multitasking, effective communication, and collaborative teamwork. Strong computer proficiency in Word, Excel, and Access.
Offered Benefits:
We offer a competitive compensation package along with extensive health, dental, and vision insurance. Additional benefits include life insurance, long-term disability coverage, and a 401(K) retirement plan. Paid time off is available for vacations, holidays, sick leave, and more. We are an equal opportunity employer.
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