Credentialing Specialist - Hybrid Role! - Full-time

 -Accurately complete credentialing and reappointment applications to be sent to payers and facilities on behalf of providers.

-Monitoring workloads and ensuring completion of all assigned tasks in a timely manner – communicating with management on potential issues.

-Communicate the status of all applications to management and accurately maintain tracking spreadsheets.  

-Set up and maintain electronic credentialing files for each practitioner while ensuring confidentiality and accuracy is priority. 

-Request needed documentation from providers such as credentialing/recredentialing documents and information; performs primary source verification of credentialing information; reviews and analyzes the documentation for completeness and accuracy; follows up with physicians on application in a professional manner.

-Prepare professional communication both written and verbal with providers, contractors, and facilities.

-Must have the ability to make decisions in a timely fashion that are sound, accurate, and supported by the reasoning and inclusion of appropriate people.  

-The successful candidate must be an enthusiastic team player who can work in a fast-paced environment, multi-task, prioritize tasks and handle obstacles with a poised demeanor and positive attitude. Investigate solutions to problems and determine the best course of action.

-Must be a self-motivated individual that communicates clearly and professionally with team members, physicians, vendors, facility credentialing representatives, and team leaders.

Requirements

-3-5 years’ experience facility credentialing and or MSO required.
-Ability to demonstrate excellent oral, written, interpersonal, analytical, and negotiation skills.
-Ability to use various computer programs to include but not limited to excel, adobe and outlook.
-Ability to work autonomously with minimal direction.
-High School Diploma or equivalent required (Degree preferred)