CREDENTIALING SPECIALIST

LITTLE ROCK, AR 72202

Posted: 12/13/2021 Employment Type: Temp/Hire Industry: MEDICAL Job Number: 39542 Pay Rate: $16-$18+

Job Description

The Credentialing Specialist performs a wide variety of credentialing duties in support of RCM services. As an integral part of our RCM team, the position serves in a cross-functional, fast-paced environment in order to meet performance and quality assurance benchmarks. Essential duties include all aspects of credentialing for the various RCM clients nationwide and maintains an ongoing collaborative relationship with providers and insurance payers.

Responsibilities:
Verify and maintain licensure\certification for all contracted providers.
Verify and maintain provider information within company software
Keep current on informational changes in nationwide credentialing procedures
Auditing applications and licensure documentation for accuracy
Communicate/answer questions regarding credentialing issues
Understand current healthcare laws and regulations

Job Requirements

Minimum 2-3 years of relevant experience
Excellent communication skills
Ability to deal with a number of tasks simultaneously
Strong attention to detail
Intermediate computer skills to include Microsoft Word and Excel as well as database programs
Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards
Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services skills
Must be highly flexible; able to accommodate changing needs of the department. Must be a self-starter, motivated and have the ability to multi-task
Training and/or experience with computer data entry
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