Credentialing Specialist Lead

Incyte Pathology, P.S.•Spokane Valley, WA

About The Position

Every day we provide vital information that helps our clients and patients understand their health. Our team of expert pathologists believe in a collaborative approach to patient care centered on outstanding quality diagnostics and service to the Northwest medical community. Not only do we bolster our community, but we also provide numerous resources to our employees in which help bring balance to the complexities of work and personal life through our wellness programs. If you are passionate about helping people and have a drive for service, then Incyte Diagnostics could be a great next career step! We offer a competitive compensation and benefits package which includes medical, dental, and vision benefits, life and disability benefits, a retirement plan, paid holidays, PTO/vacation benefits, and floating holidays. Summary: The Credentialing & Payer Enrollment Specialist is accountable for data collection, organization and submission of applications required by health plans, hospitals and governmental and other regulatory agencies. Works closely with individual practitioners, organizational leadership, Affiliated Hospitals Medical Staff, Payer’s Provider Relations Staff, Human Resources, and Billing Department to facilitate timely hospital credentialing and privileging, payer enrollment and re-enrollment, as well as expirables data (state licenses, DEA, Board Certification, malpractice insurance, etc.) as required by governmental agencies and accreditation bodies.

Requirements

Bachelor’s Degree in Health Care Administration or equivalent
Two - three years’ experience in provider credentialing, payer enrollment, healthcare, or general office experience
Must be highly organized, motivated self-starter with impeccable attention to detail.
Must work with a sense of urgency and demonstrate the ability to prioritize and work effectively under pressure.
Possess excellent communication skills (written, presentation, listening, and oral)
Proven ability to interact with physicians and support staff.
Evidence of ability to coordinate multiple projects and tasks of medium complexity. Advanced proficiency in Microsoft Office programs
Takes initiative and works independently with minimal guidance. Ability to demonstrate excellent customer service.
Ability to demonstrate problem solving skills.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) OR meet requirements to become certified within 6 months of hire.
Working knowledge of Joint Commission Standards, NCQA Standards, FCVS, obtaining medical licensures, CAQH, OneHealthPort, PECOS (Medicare), AMA, PECOS and primary data source verifications.