Credentialing Specialist

Lumexa Imaging•Charlotte, NC

1d•Onsite

About The Position

Responsible for all aspects of the credentialing and payer enrollment process for all providers and facilities. Responsible for ensuring providers and facilities are credentialed, and enrolled in accordance with established accreditation, regulatory and policy requirements. Maintain up-to-date data for each provider and facility in credentialing database and online systems.

Requirements

A minimum of two years of Payer and Provider credentialing enrollment experience
Knowledge and understanding of the credentialing and enrollment process
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Excellent attention to detail
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and credentialing software

Nice To Haves

CAQH experience strongly preferred
MD Staff software experience strongly preferred

Responsibilities

Compiles and maintains current and accurate data for all providers using the credentialing software.
Completes provider and facility payer enrollment applications; monitors applications to ensure timely start dates and no lapses in enrollment.
Maintains copies and tracks current state licenses, DEA certificates, health history, malpractice coverage and any other required credentialing documents for all providers and facilities.
Maintains knowledge of current accreditation, regulatory and policy requirements.
Other duties or projects as assigned.