Credentialing Assistant - Immediate Start

Job description

As a Credentialing Assistant, you'll work closely with the Credentialing Specialist. By verifying and auditing credentials, you'll be part of a team devoted to upholding standards of excellence and providing the highest level of care to patients.

Responsibilities & Duties

• Manage the credentialing process for healthcare providers, including physicians, nurses, and other licensed professionals.
• Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted.
• Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards.
• Coordinate with internal departments and external agencies to obtain and update relevant provider information.
• Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation.
• Communicate with providers to address any discrepancies or missing information.
• Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
• Stay up-to-date with industry regulations and requirements, ensuring compliance at all times.
• Assist in preparing for and participating in audits and regulatory reviews.
• Provide support and guidance to internal staff regarding credentialing and privileging processes.

Qualifications & Skills

• Bachelor's degree in healthcare administration, business, or a related field preferred.
• Minimum of 1-2 years of experience in credentialing or provider enrollment.
• Proficient in using credentialing software and databases for data entry and maintenance.
• Excellent attention to detail and ability to work with complex documents.
• Strong analytical and problem-solving skills.
• Exceptional organizational and time management abilities.
• Effective communication and interpersonal skills.
• Ability to work independently and collaboratively within a team.