Insurance Credentialing Specialist

BLACKSTONE MEDICAL SERVICES LLCTampa, FL
$48,000 - $50,000Onsite

About The Position

Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations. We are seeking a Credentialing Specialist to join our team at Blackstone Medical Services. In this role, you will be responsible for pursuing and initiating new healthcare contracts for a national sleep testing facility, maintaining current contracts, and ensuring compliance with industry standards and regulations.

Requirements

  • Proven experience in managed care or medical credentialing preferred.
  • Strong understanding of medical terminology and healthcare standards.
  • Excellent organizational skills with attention to detail.
  • Ability to communicate effectively with diverse stakeholders.
  • Experience in a medical office setting is a plus.

Responsibilities

  • Oversee the credentialing process for new and existing health plans.
  • Verify provider credentials, including education, training, and licensure.
  • Maintain accurate records and documentation of all credentialing activities.
  • Ensure compliance with federal and state regulations as well as organizational policies.
  • Collaborate with medical staff and administrative teams to facilitate timely credentialing.
  • Monitor expiration dates of licenses and certifications to ensure ongoing compliance.
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