We are seeking a detail-oriented and organized individual to join our team as a Credentialing Specialist. As a Credentialing Specialist, you will play a crucial role in ensuring that healthcare providers meet the necessary requirements and standards for credentialing and privileging.
Additional Details:
- Pay: $17.61
- Schedule: Monday- Friday 8am-5pm
- REMOTE- In Georgia ONLY
- Requirement- MUST have own equipment with camera (no Chromebooks, preferably no Macs)
- Recommended- 2 monitors
- Required to be on video at all times during training (No Exceptions)
Responsibilities:
- Screens provider credentialing and re-credentialing packets for missing information; requests missing information from provider; resolves discrepancies between information supplied and findings of other sources (State Dental or etc.)
- Creates and updates provider information in the credentialing system to ensure that credentials are completed within a timely manner and at a high level of accuracy.
- Receives provider inquiries via phone and correspondence.
- Researches and verifies detailed information on provider participation status.
- Perform verification of all applicable credentials.
- Contact providers for missing and expired information.
- Processing mail; incoming and outgoing.
- Maintain accurate and confidential records of all credentialing activities.
- Assist with the development and implementation of credentialing policies and procedures.
- Stay informed about changes in regulations and requirements related to credentialing.
Requirements:
Skills/Experience:
- Knowledge of company products, policies, and terms of provider participation in various networks is expected at conclusion of training and any applicable probationary period.
- Ability to maintain confidentiality of providers information.
- Demonstrated understanding of basic corporate structures and how to accurately translate information provided on contracts, credentialing attestations and other sources to maintain provider records.
- Math skills to compile and validate statistical computations, reconcile discrepancies, and insure the validity and accuracy of results.
- Knowledge and application of English grammar including composition, editing, and proofreading skills.
- Basic organizational/time management and project management skills and multi-tasking abilities.
- Detail oriented with analytical and problem-solving skills.
- Knowledge of health care industry issues preferred.
- Ability to accurately enter relevant information into the credentialing system and other ancillary data repositories as needed.
- Must be able to understand fairly complex written and oral instructions.
- Ability to clearly present written information and findings.
- Ability to communicate concepts.
- Ability to interact well with co-workers and outside contacts.
- PC literacy; MSOffice skills (competency in Word, advanced skill in Excel, Access, and other database applications).
- Regularly required to work standard office equipment (personal computer, photocopy machine, fax machine, etc.).
- Ability to work on a computer up to 7 hours a day.
- Regularly required to sit for long periods of time, and occasionally stand and walk.
- Regularly required to use hands to operate computer and other office equipment.
- Close vision required for computer usage.
Skills/Education Requirement:
- A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
- A minimum of 2 years related experience.
Interested? Apply today and get in contact with a recruiter.
Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status. All applicants must also provide proof of COVID Vaccination when requested, except where prohibited by law.
Job Types: Full-time, Contract, Temporary, Temp-to-hire
Pay: From $17.61 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Application Question(s):
- This role requires you to provide your own equipment. You must have a working computer (no Chromebooks, preferably no Macs). Windows PCs are preferred.
Do you have your own equipment to use?
- This is a 1 year contract role. Are you able to commit to working a 1 year contract?
Education:
- High school or equivalent (Required)
Experience:
- Provider Credentialing: 2 years (Required)
- Healthcare: 1 year (Preferred)
Location:
Work Location: Remote