Credentialing Specialist

24 hours ago


Hattiesburg, Mississippi, United States Southeast Mississippi Rural Health Initiative Full time
Job Title: Credentialing Specialist

At Southeast Mississippi Rural Health Initiative, we are seeking a highly skilled Credentialing Specialist to join our team. As a key member of our Insurance and Billing department, you will play a crucial role in ensuring the smooth operation of our healthcare services.

Job Responsibilities:
  • Verify and Process Medical Provider Credentials: Obtain and verify medical provider certifications, licenses, and other credentials to ensure compliance with regulatory requirements.
  • Manage Credentialing Documentation: Complete and maintain accurate and up-to-date credentialing documentation for all medical providers, healthcare centers, and facilities.
  • Communicate Effectively: Demonstrate excellent communication and interpersonal skills to interact with staff, patients, families, and visitors from diverse backgrounds.
  • Assist with Administrative Tasks: Provide support with report preparation, audits, memos, and other documents as needed.
  • Meet Deadlines and Requirements: Ensure timely completion of credentialing tasks, including requests for insurance credentialing and updates to databases.
  • Attend Mandatory Training and Meetings: Participate in in-service programs, staff meetings, and other training sessions to stay up-to-date on industry developments and best practices.
Requirements:
  • Education: High school diploma or GED with some college preferred.
  • Experience: Minimum of 2-3 years of credentialing experience, with a strong background in Medicare and Medicaid credentialing processes.
  • Skills: Excellent communication and grammar skills, with the ability to work independently and make quick decisions in a fast-paced environment.
  • Physical and Other Requirements: Ability to sit, stand, and walk for extended periods, with occasional lifting and carrying of objects up to 10 pounds.


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