Credentialing Specialist

Job Description

JOB DETAILS

REQUIREMENTS

• High School Diploma or equivalent
• 2 years year of Credentialing experience
• 2-5 years Excellent Customer Service Skills
• Proficiency in all Microsoft Office applications, including Word and Excel
• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
• Database management skills, including querying, reporting and document generation
• Ability to work independently and determine work priorities
• Excellent attention to detail

RESPONSIBILITIES

• Facilitates maintaining a comprehensive credentialing program
• Ensures all expired credentials are reviewed, obtained, and managed on a timely basis according to the credentialing processes and policies.
• Collect and verify provider information and documentation for credentialing
• Prepare and submit credentialing applications to insurance companies
• Track and follow up on credentialing applications and re-credentialing processes
• Maintain accurate and up-to-date credentialing records
• Provide and engage in excellent customer service with practices and other entities related to the organization
• Stay informed about changes in credentialing requirements and regulations

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