Credentialing Specialist Responsibilities:
- Processing initial credentialing and re-credentialing applications.
- Screening practitioners' applications and supporting documentation to ascertain their eligibility.
- Identifying discrepancies in information and conducting follow-ups.
- Assisting clients with credentialing inquiries.
- Responding to health plan provider inquiries.
- Capturing primary source documentation in computer databases.
- Ensuring data is backed up.
- Ensuring compliance with applicable laws, regulations, procedures, and policies.
Credentialing Specialist Requirements:
- High school diploma, GED, or suitable equivalent.
- 1+ years of credentialing experience
- Knowledge of medical credentialing and privileging procedures and standards.
- Excellent verbal and written communication skills.
- Proficient with Microsoft Office Word and Excel.
- Proficient touch-typing skills.
- Ability to focus for extended periods.
- Credentialing experience in physical therapy is preferred.
Job Type: Full-time
Pay: $17.00 - $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Supplemental pay types:
- Bonus pay
COVID-19 considerations:
We have always been a remote company
Experience:
- Medical Credentialing: 1 year (Preferred)
Work Location: Remote
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