Delegated Credentialing Specialist II - Managed Care- Days - FT

Memorial Hospital at Gulfport • Biloxi, MS

65d

About The Position

The Delegated Credentialing Specialist II is responsible for ensuring that all employed Memorial physicians and providers are credentialed with the appropriate delegated insurance plans, governmental agencies and any other participating insurance plans. The Specialist II oversees the preparation and processing of information and monitors compliance with regulatory and accrediting bodies as well as delegated rules and regulations. The Specialist II maintains accurate and up to date data within the relevant databases.

Responsibilities

• ensuring that all employed Memorial physicians and providers are credentialed with the appropriate delegated insurance plans, governmental agencies and any other participating insurance plans
• oversees the preparation and processing of information
• monitors compliance with regulatory and accrediting bodies as well as delegated rules and regulations
• maintains accurate and up to date data within the relevant databases

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees