Description

Position Summary:  

Reports to the Contracting and Credentialing Manager. Primary responsibility includes but is not limited to preparing and submitting provider credentialing applications to insurance organizations and tracking follow-up. This position will also support the Provider Onboarding and Credentialing Coordinator, as needed, with provider intake data and maintenance of credentialing files. 

Duties and Responsibilities: 

• Prepare, submit, and follow-up on provider credentialing applications 
• Maintain a detailed log of all pending and completed work in credentialing software 
• Assist with intake documents and input data into credentialing software and credentialing database 
• Assist with monitoring database for pending expirations of licenses, certifications, malpractice insurance, etc. 
• Ability to work in a fast-paced environment 
• Maintain confidentiality and integrity in all aspects of the credentialing process. 
• Other duties as assigned. This is a safety-sensitive position. 

Requirements

Education: 

• High School Diploma or equivalent. Associate or Bachelor Preferred. 

Experience: 

• High school diploma or equivalent o 1+ years of medical credentialing is preferred 

Skills: 

• Strong written and verbal communication skills 
• Demonstration of a professional and adaptable demeanor 
• Requires initiative and the ability to follow directions 
• Strong organizational skills and attention to detail 
• Ability to work independently with minimum supervision, set priorities, and follow through 
• Skill of proficiency in computer applications Word, Excel, Adobe o Working knowledge of CAQH and PECOS preferred