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Remote - Credentialing Specialist 1

74% Flex

Remote:

Full Remote

Contract:

Freelance

Salary:

35 - 38K yearly

Experience:

Entry-level / graduate

Work from:

United States

Offer summary

Qualifications:

High school diploma, Associate's degree in Business or Health Care.

Key responsabilities:

Verifies and maintains provider information
Monitors disciplinary actions and resolves issues
Ensures accuracy of credentialing database
Supports Credentialing Committee meetings
Assists on internal projects

Workforce Connections Human Resources, Staffing & Recruiting SME https://workforce-connections.com/

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Job description

Your missions

Job Title: BusinessOperations - Credentialing Specialist 1

Hours: 8-5 cst

Remote - Must reside in the US

Pay Rate: $18-20/hr (based on experience level)

Duration: 6 + Months

2 Openings

Job Description

The Credentialing Specialist is responsible for credentialing individual, facility and/or ancillary medical/surgical providers to ensure all credentialing standards and internal requirements are met and maintained.

Job Responsibilities

Verifies and maintains all network, individual and/or facility/ancillary providers' information.
Monitors disciplinary actions and follows up accordingly.
Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups to resolve any issues.
Ensures and maintains overall accuracy of credentialing database.
Gathers data, builds/runs reports, and sends out updates.
Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups, practitioners, office staff, provider network administrators, contracting and management to resolve issues.
May review and identify credentialing or re-credentialing practitioners, including verifications of correspondence, data entry, etc., in accordance with company policies and procedures.
Reviews and analyzes reports, policies and procedures, summarizes, analyzes and makes notations in reports for feedback to groups and for distribution to management and Credentialing Committee.
Assists in the preparation of file reports and binders for monthly Credentialing Committee meetings, including pre-and post-Committee functions.
Assists on internal projects to obtain follow-up information as requested by Credentialing Committee or Peer Review Teams. Performs other duties as assigned

Education/Experience

High school diploma. Associate's degree in Business Administration, Health Care Administration or related field preferred.
0-2 years of experience

Required profile

Experience

Level of experience: Entry-level / graduate

Industry :

Human Resources, Staffing & Recruiting

Spoken language(s):

English

Check out the description to know which languages are mandatory.

Hard Skills

Credentialing Analysis Report Generation

Soft Skills

Attention to Detail
Interpersonal Skills
Time Management

Are you interested?

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