Key skills
Critical ThinkingProblem Solving
About this role
Role Overview
- Reviews and processes applications for provider privileges
- Focuses on follow-up, follow through and achievement of stringent deadlines
- Reviews and analyzes provider credentialing file for completeness, accuracy, issues, and changes
- Responds to provider inquiries received by letter, phone, or internal departments
- Administers re-credentialing of Physicians and CRNAs
- Complies with HIPAA regulations
- Assists with other special projects and process redesign initiatives as requested
Requirements
- High School Diploma required; Bachelor’s Degree preferred
- Minimum 2+ years’ experience in provider credentialing
- Previous experience with provider credentialing/enrollment software
- Proficient in Microsoft Office suite
- Highly effective communicator with the ability to engage multiple stakeholders in various organizations
- Must be able to work well under pressure in a very fast-paced, high-volume environment
- Possess strong problem solving, critical thinking and analytical skills
Benefits
- Health, Vision and Dental
- Paid holiday and PTO
- FSA
- High-income potential