Credentialing Specialist

 Posted 4 months ago
     
2-5 years experience
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AI Summary

The Credentialing Specialist is responsible for the initial credentialing and enrollment of providers across various specialties. This role also involves monitoring and administering the maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications.

Description

 The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The Credentialing Specialist will be responsible for the initial credentialing and enrollment of providers for a variety of specialties. Additionally, maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications (addresses, re-validations, etc.) will be monitored and administrated by the Credentialing Specialist. The Credentialing Specialist is also required to notify providers and work with practice / office managers to facilitate completion of tasks. Professionalism in communication with clients, insurers, and industry contacts is a key component of this position. Duties can vary daily but are expected to be performed within a set period as determined by management. 


This position may also support our in-house Contracting Team by taking on overflow. Work from Home Position is an option after initial 60-day probationary period, though ideally, the preferred candidate will be available to work out of the Tucson, Arizona office during regular daytime business hours Monday - Friday.

Requirements

Experience:

  • Primary Source Verification (PSV): 1 year (Preferred)
  • Medical Provider Credentialing: 1 year (Required)

Work Location: In person

Pay: DOE; with semi-monthly pay schedule.

Job Type: Full-time


Full time Benefits:

  • 401(k)  
  • AD&D insurance  
  • Dental insurance 
  • Disability insurance  
  • Employee assistance program (EAP)  
  • Flexible schedule  
  • Health insurance  
  • Health savings account (HSA)  
  • Life insurance  
  • Paid time off  
  • Vision insurance 


Schedule:

  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Tucson, AZ 85716: Reliably commute or planning to relocate before starting work (Required)

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