Credentialing Specialist

CAMPBELL CLINIC PC • Germantown, TN

2d

About The Position

Performs centralized physician credentialing and related activities. Completion and maintenance of physician and other provider files, including current licenses, Drug Enforcement Agency (DEA) certifications, hospital and other facility applications and privileges, insurance plan applications, and credentials updates. Access to extensive and sensitive financial reimbursement and physician personnel information.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to satisfactorily perform each essential function, with or without reasonable accommodation. Reasonable accommodation may be made to help qualified individuals with disabilities perform the essential functions.

Requirements

• An Associate’s or Bachelor’s degree in Healthcare Administration, Business, or Office Administration is often preferred.
• 1 year of experience required.
• Able to communicate effectively in the English language.
• Basic arithmetic skills are required.
• Identifies and resolves problems promptly.
• Must be computer-literate. Basic computer skills required.
• Must obtain Certified Provider Credentialing Specialist certification (CPCS) within 1 year of employment.
• Able to listen and respond well to questions and feedback.
• Must have knowledge of medical staffing rules and regulations, Provider onboarding, health plans, compliance, audits, and ambulatory surgery center requirements.

Responsibilities

• Completes initial/renew Provider license/DEAs
• Completes Provider credentialing/re-credentialing applications for facilities and payers. Also, completes new fellow/new provider initial credentialing applications for payers (and facilities for new providers)
• Communicate with new fellows/ providers throughout the credentialing process to ensure timely completion
• Maintains updated records, expiration, renewal dates, etc., through credentialing software
• Scan the file of credentialing records and applications
• Regular and predictable attendance.
• Ability to work cooperatively with others.
• Perform other duties as assigned.

Benefits

• Medical / Dental / Vision Insurance
• HRA Option
• Flexible Spending Account
• Basic Life Insurance
• Voluntary Life Insurance Option
• Long-Term Disability
• Voluntary Short-Term Disability
• Accident Insurance
• Critical Illness Insurance
• 401(k) Plan Matching + Profit Sharing
• Employee Assistance Program
• Paid Time Off
• 8 Paid Holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 101-250 employees