Credentialing Specialist Job at University Orthopedics
Job Description: Credentialing Specialist
Responsible to: Manager of Credentialing Services
Location: East Providence, RI
Under the direction of the Manager of Credentialing Services, the Credentialing Specialist is responsible for aspects of the credentialing, re-credentialing, and privileging process for all medical providers. This is a full-time position with benefits.
Essential Duties and Responsibilities:
- Complete provider payer enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed.
- Maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Set up and maintain provider information in online credentialing databases and system.
- Track license and certification expirations for all providers to ensure timely renewals.
- Process applications for appointment and reappointment of privileges.
- Maintains strict confidentiality of provider information.
- Perform other duties as assigned by Manager to meet department needs.
Requirements:
Bachelor’s Degree preferred or relevant experience.- Two years of relevant credentialing experience preferred.
- Excellent data entry skills.
- Excellent organizational skills.
- Excellent verbal and written communication skills.
- Must be able to work independently with minimal supervision.
- Must be able to work in fast paced, deadline driven environment.
- Flexibility to travel between Rhode Island and Massachusetts office sites, if needed.
- Ability to work in Microsoft Office and proprietary credentialing software.
- Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.
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