Medical Credentialing Specialist

4 weeks ago


Detroit, Michigan, United States TEKsystems Full time
Job Title: Medical Credentialing Specialist

About the Role:
We are seeking a highly skilled Medical Credentialing Specialist to join our team at TEKsystems. As a Medical Credentialing Specialist, you will be responsible for all functions relating to the credentialing and re-credentialing of practitioner applicants.

Key Responsibilities:
Under general supervision, you will be responsible for data entry, data collection, and verification of credentials from primary source and analyzing information collected for presentation to medical staff leadership. You will also be responsible for verifications for medical staff and allied health professionals' initial appointments, provisional reviews, reappointments, and privilege delineation.

Requirements:
2+ years of prime source credentialing experience is required. You must also have 1+ years of hospital credentialing experience and be proficient in using MDStaff Credentialing Software. End-to-end provider credentialing experience (MDs & DOs) is also required. Additionally, you must have a working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.

About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. TEKsystems is an Allegis Group company and an equal opportunity employer.

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