Credentialing Data Specialist

2 weeks ago

Minneapolis, Minnesota, United States Araz Group HealthEZ Full time $40,000 - $60,000 per year

The Opportunity

America's PPO is currently seeking a Credentialing Data Specialist who would be responsible for gathering and validating healthcare practitioner credentialing information in accordance with regulatory and accreditation standards for the providers contracted with America's PPO. This position interacts with practitioners and facilities by email and phone to ensure timely receipt, processing of information and response to all credentialing-related inquiries.

What you'll do

  • Process, submit, and track initial credentialing and re-credentialing applications.
  • Enters and maintains provider information into the company's credentialing database.
  • Respond to status inquiries regarding providers' network status.
  • Provide subject matter expertise to all staff, as needed, regarding credentialing issues.
  • Maintain database in support of credentialing functions.
  • Assure accurate data collection and verification of information critical to the credentialing process.
  • Identify discrepancies in information and conduct follow-ups.
  • Complete all credentialing demographic updates or changes.
  • Report on turnaround times for processing credentialing adds and edits.
  • Prepares a variety of reports and templates using Word and Excel.
  • Other tasks to support our Provider Network team.

What we expect from you

  • High school diploma or equivalent; one (1) year credentialing or healthcare experience preferred.
  • Data entry.
  • Strong written and oral communication skills.
  • Advanced computer skills with proficiency in multiple software applications including Microsoft Office.
  • Strong organizational and multi-tasking skills.
  • Excellent interpersonal and customer service skills.
  • Detail oriented with ability to recognize vital information.
  • Ability to consistently maintain quality and production standards.
  • Ability to use good judgement in making decisions and oversee sensitive issues with diplomacy and tact.

We make healthcare EZ

Additional Opportunity Details:

Target Base Compensation Range for this role is $20.00-$25.00/hr*

  • Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role.

Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time away, paid leaves (including paid parental leave) and more.

HealthEZ recognizes its responsibilities under federal, state, and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion, sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance, or any other characteristic protected under applicable local, state, and federal laws.

HealthEZ is proud to be an equal opportunity employer.

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