Medical Credentialing Specialist
4 days ago
The Credentialing Specialist is a vital role within our organization, responsible for ensuring the credentialing and re-credentialing process for healthcare providers is managed efficiently and effectively. This role requires strong organizational and time management skills, as well as excellent attention to detail and accuracy.
Key Responsibilities:- Oversee the initial credentialing and re-credentialing process for all healthcare providers, including physicians, nurses, and other medical staff.
- Collect, review, and verify all necessary documentation, including licenses, certifications, education, work history, and malpractice coverage.
- Ensure compliance with all applicable federal, state, and local regulations, as well as organizational policies and standards.
- Maintain and update credentialing databases and systems to ensure accurate and current information.
- Liaise with healthcare providers, insurance companies, and regulatory bodies to facilitate the credentialing process.
- Address and resolve any issues or discrepancies related to provider credentials.
- Prepare and present reports on credentialing activities and status to management and relevant committees.
- Assist with internal and external audits of credentialing processes and records.
- High school degree or GED.
- Past experience in credentialing for providers in a medical setting.
- Ability to type 30 to 40 WPM.
- 1 to 2 years experience in a medical setting.
- Strong communication skills.
- Attention to detail.
- Medical terminology.
- Must live in South Texas from Brownsville, Texas to McAllen, Texas.
Spherion is an equal opportunity employer and welcomes people of all abilities. We offer a comprehensive benefits package and an incentive and recognition program. If you require a reasonable accommodation to make your application or interview experience a great one, please contact us.
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