PHP Credentialing Specialist

6 days ago


Paducah, Kentucky, United States Baptist Health Full time
Job Title: PHP Credentialing Specialist

Baptist Health is committed to fostering a collaborative and professional work environment that encourages our employees to thrive. As a PHP Credentialing Specialist, you will play a vital role in providing high-quality care to our patients and promoting excellence in our communities.

Key Responsibilities:
  • Manage the credentialing and re-credentialing process for healthcare providers, ensuring compliance with regulatory requirements.
  • Develop and distribute regular updates on payor information to network contacts.
  • Coordinate annual delegated credentialing network/payor audits.
  • Build and maintain strong relationships with healthcare providers and payors.
  • Support committee meetings, including scheduling, recording minutes, and maintaining records.
  • Provide education and training on local managed care issues and market changes to office managers and staff.
  • Promote good public relations for Purchase Health Partners (PHP).
  • Assist the PHP Coordinator and AVP Networks and Collaboration with other duties as assigned.
Requirements:
  • Bachelor's degree in a related field.
  • Minimum 5 years of experience in healthcare management, credentialing, or a related field.
  • Proven communication and quantitative skills.
  • Ability to prioritize tasks and work in a fast-paced environment.

Baptist Health is an Equal Employment Opportunity employer. We are committed to providing a safe and healthy work environment for our employees and patients. If you are passionate about delivering exceptional care and promoting excellence in healthcare, we encourage you to apply.



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