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Medical Credentialing Specialist
This job is now closed
Job Description
- Req#: 1043
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive salary and benefits package
- Opportunity for professional growth and development within the organization
- Collaborative and supportive team environment
- Comprehensive benefits including 401(k), health, dental, vision, and life insurance
- Flexibility of remote work
- Involvement in maintaining high-quality care standards across multiple facilities
What to Expect (Job Responsibilities):
- Manage credentialing and re-credentialing for 132 providers across 12 facilities, ensuring timely submissions and updates
- Verify and process provider credentials, including licensure, certifications, education, and work history
- Maintain accurate and up-to-date records in credentialing databases and software
- Coordinate with providers, payers, and facility administrators to resolve discrepancies or delays
- Prepare and submit applications for payer enrollment, hospital privileges, and re-credentialing as needed
What is Required (Qualifications):
- High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration or related field preferred
- Minimum of 2 years of credentialing experience in a healthcare setting
- Knowledge of NCQA, JCAHO, and CMS standards
- Familiarity with payer enrollment processes
- Proficient in Microsoft Office Suite and credentialing software (e.g., CAQH, MD-Staff)
How to Stand Out (Preferred Qualifications):
- Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
- Experience managing credentialing for multiple providers and facilities
#HealthcareServices #Credentialing #RemoteWork #CareerOpportunity #ProfessionalDevelopment
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