Credentialing Specialist

Credentialing Specialist Radiant Healthcare - 3.3 Greendale, WI Job Details Full-time $24 - $30 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Provider database maintenance for medical credentialing Research Attention to detail Organizational skills Healthcare provider information Technical Proficiency Full Job Description Job Summary We are seeking a detail-oriented Healthcare Credentialing Specialist to join our team. The ideal candidate will be responsible for ensuring that all healthcare providers meet the necessary qualifications and comply with industry standards. Essential Functions Process credentialing and recredentialing applications for health care providers. Completes, reviews and verifies credentialing applications. Calls Insurance companies to request Network participation Loads and maintains provider information in a credentialing database system. Track license and certification expirations for medical providers to ensure timely renewals. Handle and resolve inquiries regarding credentialing information, process and/or status. Perform new account setup Perform in the Month End Report process for all clients. Initiate, verify, collate and complete. Other duties as requested

Skills, Knowledge and Experience Required Strong Organizational Skills:

Must keep track of multiple strict deadlines and ensure that all the required documentation is in order. Attention to

Detail:

Responsible for verifying credentials, it is essential for this position to have a strong attention to detail.

Technical Skills:

Preferred knowledge of the ECHO credentialing software, not a requirement.

Communication Skills:

Effective communication with providers and other staff members within the organization.

Strong Research Skills:

Ability to research provider backgrounds, or other topics on a regular basis.

Proficiency:

Related to credentialing standards and procedures If you are a meticulous individual with a background in credentialing and a passion for maintaining quality standards in healthcare, we encourage you to apply for this rewarding opportunity as a Credentialing Specialist.

Pay:

$24.00 - $30.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person