Delegated Credentialing Specialist II - Managed Care - Days - FT
Memorial Hospital at Gulfport•Biloxi, MS
•Onsite
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.
Requirements
- Experience in credentialing with delegated insurance plans, governmental agencies, and other participating insurance plans.
- Knowledge of regulatory and accrediting bodies' rules and regulations.
- Proficiency in maintaining accurate and up-to-date data in 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.
- Overseeing the preparation and processing of information.
- Monitoring compliance with regulatory and accrediting bodies as well as delegated rules and regulations.
- Maintaining accurate and up to date data within the relevant databases.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
