Certification Specialist Position for Healthcare Professionals

7 days ago


Fort Lauderdale, Florida, United States Brightwing Full time

At Brightwing, we are seeking an experienced Certification Specialist to join our team.

Job Summary:

We are looking for a highly organized and detail-oriented individual to oversee the credentialing process of healthcare professionals. This is a challenging yet rewarding role that requires strong communication and analytical skills.

Key Responsibilities:

  1. Verify and maintain accurate provider data in databases and online systems to ensure compliance with health plans and regulatory agencies.
  2. Process credentialing applications, conduct primary source verifications, and update databases accordingly.
  3. Collaborate with internal stakeholders to ensure timely and accurate submissions to third-party payers.
  4. Stay up-to-date on new policies and procedures from third-party payers and communicate changes to relevant staff members.
  5. Participate in contracting functions and understand contract requirements.
  6. Perform other duties as assigned by management.

Requirements:

  • Knowledge of the credentialing process and related accreditation and certification requirements.
  • Ability to work independently, manage multiple projects efficiently, and meet deadlines.
  • Excellent attention to detail, research, and analytical skills.
  • Strong communication and interpersonal skills, with the ability to effectively collaborate with providers, staff, and external contacts.
  • Proficient use of MS Office applications (Word, Excel, and Outlook) and internet informational research.

Benefits:

  • Competitive salary range: $60,000 - $80,000 per year
  • A dynamic and supportive work environment
  • Ongoing training and professional development opportunities

About Us:

Brightwing is a leading provider of healthcare services, committed to delivering high-quality care to our clients. We offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.



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