Job Description:
• Managing provider credentialing & re-credentialing, ensuring efficient operations and maintaining current staff data
• Ensures healthcare professionals and services meet federal, state, and NCQA standards; verifies professional licensing, training, and certifications
• Prepares and maintains reports of credentialing activities
• Coordinates medical staff appointments, processes applications/licensing, and manages the provider credentialing process, facilitating communication across departments and administration
• Ensures compliance with accreditation and legal requirements for medical staff
• Contacts medical offices, licensing agencies, and insurance carriers to complete credentialing and re-credentialing
• Tracks and reports credentialing performance measures
Requirements:
• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
• Required professional licensure/certification can be used in lieu of education or experience, if applicable
• Experienced in credentialing software (preferably MD Staff)
• Ability to use Excel proficiently
• Strong skill-sets to focus on details of data and enter accurately
• Majority of day is utilizing software and inputting data
• Must be able to focus on customer service when talking to credentialed practitioners on phone
• 3+ years of experience
Benefits:
• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement
• Ways to give back to your community