Senior Credentialing Coordinator
About The Position
The Credentialing Specialist position specializes in credentialing activities, coordinates the credentialing functions, performs analytical and critical thinking skills when credentialing/re-credentialing an applicant, and acts as a liaison between the credentialing staff and administration within the parameters established by the Credentialing Manager/Chair/Designee/CMO. Under the direction of the Credentialing Supervisor, the Credentialing Specialist is responsible for processing initial and re-credentialing applications for physicians, mid-levels, dentists, and all other applicable providers. Ensures accurate, complete, and timely functioning of the initial and re-credentialing processes. Prepares credentialing files for presentation to the Credentialing Committee, State Agencies, and Health Plans audits. Supports Credentialing Coordinators to gain skills and experience.
Requirements
- High School diploma required.
- Minimum of 5 years of experience in the field of Health Care (Managed Care, MSO, Medical Staff) Credentialing or related field required.
Nice To Haves
- An associate's degree and/or college coursework are highly preferred.
- Certified Provider Credentialing Specialist (CPCS) preferred.
Responsibilities
- Processing initial and re-credentialing applications for physicians, mid-levels, dentists, and all other applicable providers.
- Ensuring accurate, complete, and timely functioning of the initial and re-credentialing processes.
- Preparing credentialing files for presentation to the Credentialing Committee, State Agencies, and Health Plans audits.
- Supporting Credentialing Coordinators to gain skills and experience.
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
