Credentialing Specialist
6 days ago
Credentialing Coordinator
Pride Health is seeking a highly organized and detail-oriented Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with regulatory requirements and maintaining accurate records.
Key Responsibilities
- Manage the credentialing process for healthcare providers, including initial credentialing, re-credentialing, and credentials modification
- Ensure compliance with regulatory requirements, such as HIPAA and Joint Commission standards
- Maintain accurate and up-to-date records of provider credentials and compliance status
- Communicate with providers, facilities, and other stakeholders to resolve credentialing issues
- Collaborate with other departments to ensure seamless credentialing processes
Requirements
- 2 years of experience with provider credentialing processes and procedures
- Knowledge of CACTUS preferred
- Ability to handle multiple projects simultaneously
- Comprehensive knowledge of managed care with a specific emphasis on physician credentialing
- Ability to meet time-sensitive deadlines and multi-task in a changing healthcare environment
Benefits
- Comprehensive healthcare coverage (medical, dental, and vision plans)
- Supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity)
- 401(k)-retirement savings
- Life & disability insurance
- Employee assistance program
- Legal support
- Auto, home insurance
- Pet insurance
- Employee discounts with preferred vendors
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