Certification Specialist Position for Healthcare Professionals
7 days ago
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:
- Verify and maintain accurate provider data in databases and online systems to ensure compliance with health plans and regulatory agencies.
- Process credentialing applications, conduct primary source verifications, and update databases accordingly.
- Collaborate with internal stakeholders to ensure timely and accurate submissions to third-party payers.
- Stay up-to-date on new policies and procedures from third-party payers and communicate changes to relevant staff members.
- Participate in contracting functions and understand contract requirements.
- 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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