Medical Device Credentialing Specialist

4 weeks ago


Somerset, New Jersey, United States Oticon Full time

Credentialing Specialist Job Description

Oticon Medical is a leading provider of hearing implant solutions. We are seeking a skilled Credentialing Specialist to join our Insurance Team. As a key member of our team, you will play a critical role in improving access to our life-changing technologies.

Responsibilities:

  • Obtain necessary data from providers to initiate the credentialing process
  • Perform quality review audits of credentialing files
  • Maintain up-to-date data for sales territories
  • Track Oticon Medical's licenses, certifications, and professional liability insurances to ensure timely renewals
  • Maintain standards set forth by internal policies and procedures, as well as local and federal regulatory requirements
  • Coordinate with the insurance and field teams to stay ahead of pertinent insurances
  • Interact with internal departments and varied levels of management to accomplish credentialing timelines
  • Meet or exceed departmental timeframes and quality metrics on a consistent basis

Qualifications:

  • 3+ years of experience in a credentialing role (DME, Audiology, or Medical device background preferred)
  • Ability to develop and manage credentialing independently
  • A willingness to learn, take initiative, and be resourceful
  • A bias for action and pragmatic solutions
  • Detail and results-oriented, with the ability to manage and prioritize requests, and effectively communicate
  • The ability to be flexible in an ambiguous and dynamic environment
  • Ability to solve problems and establish trust
  • Demonstrated skills in problem-solving, analysis, and resolution
  • Must be able to function independently, possess demonstrated flexibility in multiple project management capabilities
  • Must comply with HIPAA rules and regulations
  • Demonstrated, extensive knowledge of state licensing requirements, primary source verifications, as well as credentialing database maintenance
  • Working knowledge of payer credentialing rules, portals, and regulations preferred
  • CPCS Certification is a plus


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