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Credentialing Coordinator

ICONMA

Role overview

Qualifications

  • Preferred NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS)
  • 1-3 years of credentialing or licensure experience
  • Experience filling out applications
  • Strong attention to detail and admin skills

Responsibilities

  • Verifying State Licenses, exclusions lists, DEA’s, Board Certifications and Medicaid/Medicare Enrollment Verifications
  • Enrolling clinicians in Medicare and Medicaid following state and federal guidelines
  • Applying for state licensure for clinicians
  • Maintaining strong cross-departmental relationships and monitoring files for completeness and accuracy

Key facts

Hard skills

Worksoft Certify Medicaid Waiver Data Entry Google Services

Other skills

  • Detail Oriented
  • Organizational Skills
  • Communication
  • Relationship Management

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

Links

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Job description

Our Client, a Healthcare company, is looking for a Credentialing Coordinator for their Farmers Branch, TX/Remote location.
 
Responsibilities:
  • Verifying State Licenses, exclusions lists, DEA’s, Board Certifications and Medicaid/Medicare Enrollment Verifications on an ongoing basis to ensure qualified and approved clinicians remain active in the network.
  • Enrolling clinicians in Medicare and Medicaid following state and federal guidelines
  • Applying for state licensure for clinicians
  • Maintain strong cross-departmental relationships with Recruiting, Production, and Education This role will report to our Supervisor of the Credentialing Hub.
  • Candidates will monitor files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate.
  • Enters, updates, and maintains data from provider applications into the credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses and in accordance with internal policies and procedures.
  • Prepares, issues, electronically tracks, and follows up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
  • Communicates clearly with providers, internal/external clients, and all client staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest developments to enhance understanding of various regulations and legislation of the healthcare industry and assist with special projects on an as-needed basis.
 
Requirements:
  • Preferred NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS).
  • Preferred CAQH Experience, preferred MD Staff Experience, preferred Goggle Suites Experience and highly preferred Licensure Experience.
  • Experience & Skills:
  • Preferred Experience: 1–3 years
  • Credentialing or licensure experience highly preferred
  • Top 3 Non-Negotiables:
  • Ability to verify licensure and education
  • Experience filling out applications
  • Strong attention to detail and admin skills
  • Experience Level: Level I (0-3 Years)
 
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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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