Credentialing Professional – Variable Staffing Pool
Employment Information
Job Description
Credentialing Professional reviewing healthcare documentation for health plans. Responsible for obtaining and verifying applicant's qualifications and status with various health plans.
Responsibilities:
- Obtains and reviews documentation to determine status in a health plan
- Reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence
- Reviews the information and documentation collected, as well as verification that the information is accurate and complete
- Makes decisions regarding own work approach/priorities, and follows direction
- Assists with initial, renewal, relocation and termination applications for AHCA, CLIA, Biomedical, HCCE applications
- Assists with Level 2 prints and license and certification verifications and expirables.
Requirements:
- Associate's degree or related experience
- A minimum of two years of credentialing experience in healthcare
- Ability to learn credentialing software; ability to complete reporting
- Ability to prioritize workload to ensure deadlines are met
- Excellent written and oral communication skills required
- Excellent PC skills (including MS Word, Excel and Access) required
- Bachelor degree in Business, Health Administration, Accounting or related field preferred
- Familiar with CAQH
- Bilingual; English & Spanish preferred
- Experience in managed care or health care administration desired
Benefits:
- paid time off
- 401(k) retirement savings plan
- employee assistance program
- business travel and accident
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