Credentialing Specialist

• Facility and Ancillary credentialing. to include all aspects of new applicant credentialing. re-credentialing; ongoing maintenance of provider credentials; online verifications; administrative support of credentialing functions.
• Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.
• Perform all required primary source verifications.
• Contact hospitals. licensing agencies. malpractice carriers. and medical schools to obtain credentialing verifications.
• Maintain and update credentialing database records.
• Review malpractice history. regulatory and disciplinary action reports issued by state and federal agencies invoking appropriate processes as defined in policies and procedures.
• Review the CAQH system and download applications or supplemental documents as appropriate.
• Maintain electronic provider files.
• Perform outreach to providers and facilities via phone calls and fax/email correspondence.
• Demonstrate knowledge of credentialing regulatory and accreditation requirements 

Hours: Monday - Friday 8am-5pm, possible overtime

Pay Rate: $15.00, Negotiable based on relevant experience

Contract Length: 6+ months - can go permanent

Number of Openings: 60!!!

• High School Diploma/GED
• Experience in healthcare related position/Customer Service 
• 2+ years credentialing experience/insurance verification 
• Data entry
• General PC skills

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Courtney Phelps

407-478-0332 ext 232