Communication Skills, Computer Skills, Computer Systems, Detail Oriented, HIPAA (Health Insurance Portability and Accountability Act), High School Diploma, Maintain Compliance, Mathematics, Office Equipment, Physical Demands, Provider Credentialing, Regulations, Regulatory Compliance, Software Administration, Team Player
This role involves verifying and maintaining the professional credentials of healthcare providers to ensure compliance with regulatory and organizational standards.
Key responsibilities include:
- Compiling, processing, and updating credentialing applications and data in databases
- Verifying education and licenses through source verification
- Monitoring credential expiration dates and advising staff on renewals
- Responding to inquiries and providing necessary information
- Verifying and uploading insurance policies
- Ensuring adherence to federal, state, and organizational policies and regulations
- Maintaining confidentiality and complying with HIPAA standards
Qualifications include excellent attention to detail, basic computer skills, clear communication, teamwork, and the ability to work with diverse individuals. Educational requirements are a high school diploma or GED, with prior experience in computer systems and basic math skills preferred. Must pass background checks. Physical demands include sitting for extended periods, using standard office equipment, and lifting up to 10 pounds.
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WESTBROOK HEALTH SERVICES