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Healthcare Project / Program Manager
Fort Lauderdale, FL

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BC Talent Solutions, LLC

Credentialing Specialist

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Job Description

Client in South Broward is seeking a Credentialing Specialist with contracting/payer experience to join the team! Position is a temp-perm position with 3/2 hybrid schedule. Job Overview We are seeking a detail-oriented Credentialing Specialist to join our team. In this role, you will be responsible for ensuring that healthcare providers meet the necessary qualifications and standards required for practice within our organization. You will play a crucial part in maintaining compliance with regulatory requirements and supporting the overall efficiency of our medical office operations. Duties Review and verify the credentials of healthcare providers, including education, training, and licensure. Logs incoming payer credentialing requests and payer contract requests in corresponding computer system and presents contracts to Payer Relations Contract Manager(s) for follow through. Serves as primary contact for all internal and external payer credentialing inquiries. Manages new and existing payer credentialing process to verify that deadlines are met. Gathers and maintains all credentialing documentation and obtains missing or incomplete information to accurately meet external credentialing requests. Updates existing payer credentialing documentation and applications. Maintain accurate records of credentialing processes and ensure timely updates to provider files. Collaborate with managed care organizations to facilitate the credentialing process. Utilize medical terminology to accurately assess qualifications and communicate effectively with healthcare professionals. Stay informed about industry standards and regulatory changes affecting credentialing practices. Assist in the development and implementation of credentialing policies and procedures. Respond to inquiries related to provider credentials from internal teams and external stakeholders. Qualifications Minimum of 2 years of experience in payer contracting/credentialing, including application submission and contract negotiation Knowledge of state medicaid, medicare, and commercial payer plans Experience working for or with DME companies, including knowledge of the DME credentialing process Strong organizational and administrative skills, with the ability to manage multiple project simultaneously and meet deadlines Exceptional attention to detail and accuracy in all work, with a commitment to producing high-quality results Excellent communication skills, including the ability to write clear and concise correspondence and engage with a variety of stakeholders Willingness to learn new skills and adapt to a fast-paced, rapidly changing environment If you are passionate about supporting healthcare providers through the credentialing process and possess the required skills, we encourage you to apply for this vital role within our organization.
Job Types:
Full-time, Temp-to-hire Pay:
$19.00 - $21.00 per hour
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to
Commute:
Fort Lauderdale, FL 33314 (Required) Ability to
Relocate:
Fort Lauderdale, FL 33314: Relocate before starting work (Required)
Work Location:
Hybrid remote in Fort Lauderdale, FL 33314

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health Insurance
  • Dental Insurance