Credentialing Professional

3 weeks ago


San Antonio, Texas, United States Mpower Health Full time
Credentialing Specialist Job Description

Mpower Health is seeking a highly skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of credentialing documents for our healthcare providers.

Key Responsibilities:
  • Initiate, track, and update all credentialing documents, including verifying the accuracy and completeness of applications.
  • Maintain knowledge of federal and state regulatory requirements and accreditation standards, including Joint Commission and CMS.
  • Complete initial and re-credentialing applications for all physicians, ensuring timely and accurate processing.
  • Update and maintain licensures, CVs, DEAs, and certificates for all providers.
  • Track expirable information for all providers to ensure timely renewals.
  • Maintain excellent working relationships with facilities to ensure timely and accurate credentialing status.
  • Ensure strict confidentiality regarding protected health information and provider information.
Requirements:
  • High School Diploma or GED.
  • Minimum of two years experience in credentialing.
  • Proficient in Excel, Word, and Adobe.
  • Knowledge of Joint Commission Standards and ability to prioritize workload and meet strict deadlines.
  • Strong problem-solving skills, attention to detail, and ability to work with minimal supervision.
Work Environment:

This position will be based in a standard office working environment that may be busy and noisy at times.



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