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Job Requirements of Credentialing Specialist:
-
Employment Type:
Contractor
-
Location:
Murray, UT (Onsite)
Do you meet the requirements for this job?
Credentialing Specialist
Careers Integrated Resources Inc
Murray, UT (Onsite)
Contractor
Job Title: Credentialing Specialist
Location: Salt Lake City, UT (100% Remote)
Duration: 6 Months+ (Possibility of Extension)
Shift: Mon-Fri (8:00 am - 4:30 pm)
Job Responsibilities:
Skills:
Preferred Education:
Preferred Certifications & Licensure:
Additional Details:
Location: Salt Lake City, UT (100% Remote)
Duration: 6 Months+ (Possibility of Extension)
Shift: Mon-Fri (8:00 am - 4:30 pm)
Job Responsibilities:
- Serve as the primary credentialing liaison for hospitals, providers, and network participating providers regarding credentialing services.
- Facilitate all aspects of the centralized credentialing verification program with accuracy and attention to detail.
- Enter all provider information into credentialing software and other relevant programs.
- Process initial credentialing and recredentialing applications, ensuring primary source documentation is captured in computer databases.
- Prepare and maintain reports related to credentialing activities, such as accreditation, membership, or facility privileges.
- Ensure all credentialing applications comply with applicable laws, regulations, procedures, and policies.
- Stay updated on changes to credentialing guidelines and ensure records and applications are up-to-date and ready for review by Credentialing Committees.
- Maintain frequent contact with medical staff services professionals, administrators, medical directors, and practitioners.
- Keep the Medical Staff Services Director informed of any issues or concerns related to credentialing.
- Perform other duties related to credentialing and administrative tasks as assigned.
Skills:
- Medical Terminology: Demonstrated understanding of medical terminology.
- Medical Field Experience: Experience working in the medical field in an administrative or support role.
- Communication Skills: Effective verbal and written communication skills with the ability to work well in a team.
- Computer Technology: Proficient in using computer technology to perform job functions.
- Software Skills: Must have intermediate level experience with Word, Excel, Adobe, and OneNote.
- Comfortable learning and using a sophisticated database program.
- Workload Management: Demonstrated workload management and prioritization skills.
- Self-Motivation & Independence: Ability to function with minimal supervision, be self-motivated, and maintain confidentiality.
- Adaptability: Ability to adapt to frequent interruptions and remain productive.
- Problem-Solving & Decision-Making: Strong skills in problem-solving, decision-making, and adaptability.
- Organizational Skills: Excellent organization and communication skills.
- Regulatory Knowledge: Working knowledge of TJC, NCQA standards, as well as state and federal guidelines and requirements.
Preferred Education:
- Bachelor’s Degree from an accredited institution. Degree will be verified.
Preferred Certifications & Licensure:
- Certification by the National Association of Medical Staff Services.
- Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS).
- Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS).
Additional Details:
- Remote position with Simplified Benefits Administrators.
- Experience or familiarity with provider credentialing is preferred.
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