Credentialing Specialist

2 weeks ago


Windsor, Connecticut, United States Southern New England Healthcare Full time
Job Summary

We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team at Southern New England Healthcare. In this role, you will be responsible for ensuring that our healthcare providers are properly credentialed and enrolled with various health plans, while maintaining accurate and up-to-date records in our credentialing database.

Key Responsibilities
  • Credentialing and Enrollment: Coordinate the credentialing and enrollment process for our healthcare providers, ensuring compliance with NCQA guidelines and delegated credentialing agreements.
  • Database Management: Maintain accurate and up-to-date records in our credentialing database, including provider demographic information and credentialing status.
  • Communication: Communicate effectively with healthcare providers, payors, and other stakeholders to ensure timely and accurate credentialing and enrollment.
  • Problem-Solving: Identify and resolve issues related to credentialing and enrollment, utilizing analytical skills and attention to detail.
Requirements
  • Education: Bachelor's degree in a related field, or equivalent experience.
  • Experience: At least three years of experience in a managed care environment or equivalent.
  • Skills: Strong organizational and communication skills, with ability to prioritize multiple tasks and manage deadlines.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a detail-oriented and organized individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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