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Credentialing Specialist

Job Description - Credentialing Specialist

Description

Medical  practice seeking credentialing specialist with strong detail oriented skills and exceptional ability to plan, organize, and implement a plan to completion. Must also have effective verbal and written communication skills and work effectively with medical staff and external agencies.

Key Responsibilities

  • Onboard new providers 
  • Familiar with PECOS & PAVE portals
  • Execute and track license and credentialing applications to completion
  • Continuously support providers by fielding questions and managing paperwork
  • Utilize knowledge & skills set to accurately complete Medicare, Medi-Cal, & other non-specific governmental provider enrollment application packets not limited to California.
  • Utilize knowledge & skills set to accurately complete non-governmental provider enrollment application packets not limited to California.
  • Provide routine follow up and status confirmation of physician enrollment applications.
  • Maintain client/physician confidentiality at all times and maintain effective communication & professional interaction with clients & physicians.

Benefits include

  • 401(k)
  • Paid time off
  • Paid Holidays
  • Dental insurance
  • Health insurance
  • Vision insurance


Requirements

 

  • H.S. Diploma or equivalent & minimum of 1 year of medical provider enrollment experience preferred.
  • Demonstrated strong interpersonal skills & excellent communication skills both written & verbal.
  • Strong organizational skills.
  • Demonstrates a professional demeanor when responding to physicians/clients.
  • Proficient PC skills including ability to navigate the internet efficiently.
  • Strong analytical, problem solving skills are essential.
  • Ability to handle multiple tasks, prioritize & meet deadlines.
  • Detail & quality oriented with a high degree of accuracy
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