Medical Credentialing Specialist

6 days ago


Cypress, California, United States HealthSmart MSO Full time
Job Description

We are seeking a highly organized and detail-oriented Credentialing Coordinator to join our team at HealthSmart MSO. The ideal candidate will possess excellent communication skills, strong analytical abilities, and the ability to work in a fast-paced environment.

Key Responsibilities:

  • Coordinate the credentialing process for healthcare providers, ensuring timely and accurate data entry and processing of applications.
  • Maintain practitioner files, ensuring that current information is up-to-date and compliant with regulatory requirements.
  • Prepare credentialing/re-credentialing files, including primary source verifications and assure that credentialing information is consistently placed in providers' files in their proper order.
  • Perform online verifications, generate verification request letters, and send them to appropriate agencies for credentialing/re-credentialing file processing.
  • Communicate with practitioners to resolve any issues in a timely and professional manner.

Requirements:

  • Bachelor's degree or equivalent experience in a related field.
  • At least two years of experience in healthcare credentialing, medical records, or a related field.
  • Proficiency in Windows Word, Excel, and other software applications relevant to the position.
  • Excellent communication and organizational skills.

Estimated Salary: $55,000 - $65,000 per year, depending on experience. Benefits include health insurance, paid time off, and professional development opportunities.



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