Payor Credentialing Specialist
ERC Pathlight•Aspen, CO
8d•$21 - $29•Hybrid
About The Position
The Payor Credentialing Specialist performs duties associated with credentialing, re-credentialing, and privileging network providers.
Requirements
- High School or GED required
- Bachelor's degree preferred. Equivalent years of experience (in addition to requirement) may be substituted for degree.
- Strong organization skills. Detail oriented. Ability to multi-task and prioritize.
- Able to communicate in a professional manner both verbally and in writing.
- Minimum of 3 years of experience in healthcare facility credentialing and physician credentialing.
Nice To Haves
- Certified Provider Credentialing Specialist (CPCS)
- Experience utilizing MD Staff Software
Responsibilities
- Verify the credentials of healthcare providers, including education, training, licensure, and certifications.
- Communicate with delegated organizations to obtain necessary documentation and resolve any issues.
- Assist providers with licensing applications and renewals utilizing MD Staff Software
- Processes Facility and Provider initial applications and re-applications (credentialing and recredentialing), including initial mailing, review, and loading.
- Develops and maintains recredentialing compliance database.
- Communicates with providers regarding credentialing status.
- Maintains provider profiling systems.
- Ensures that credentialing practices adhere to organizational standards and current industry trends.
- Assists with audits and provides feedback to reduce errors and improve processes and performance.
Benefits
- competitive compensation
- comprehensive medical, dental, and vision coverage
- generous Paid Time Off
- Parental Leave benefits
- Retirement benefits
- tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
