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Provider Credentialing Specialist in ...

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Provider Credentialing Specialist

A-Line Staffing Solutions Hackettstown, NJ (Onsite) Full-Time
$30.00 - $34.00/Hour

Job Title: Provider Credentialing Specialist

Pay: $30-$34 an hr | Bi-weekly

Job Type:

  • Onsite in Hackettstown NJ

Shift Options:

  • 8a 4p Looking for someone with Provider Credentialing knowledge/Not insurance credentialing

Provider Credentialing Specialist Overview:

  • Enforce regulatory compliance and quality assurance
  • Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
  • Ensure that all information meets legal, federal and state guidelines when processing applications
  • Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
  • Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)
  • Collect and process significant amounts of verification and accreditation information Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
  • Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting
  • Sets up and maintains provider information in Echo Maintains confidentiality of provider information
  • Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
  • Schedule, and on occasion attend and take minutes for site based medical staff department meetings
  • Process and collect dues for the site based medical staff
  • Compiles and maintains current and accurate data for all providers
  • Sets up and maintains provider information in online credentialing database
  • Tracks license and certification expirations for all providers
  • Maintains confidentiality of provider information All other duties as assigned

  • Provider Credentialing Specialist Qualifications:

    • Knowledge of the credentialing process required
    • Ability to organize and prioritize work and manage multiple priorities
    • Excellent verbal and written communication skills
    • Ability to research and analyze data
    • Ability to work independently
    • Ability to establish and maintain effective working relationships
    • Excellent computer skills

    Provider Credentialing Specialist Benefits:

    • Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
    • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

    How to Apply:

    If you are interested in this position, please apply OR submit your resume to:

    Saw Hlaing |

    |

    412-790-5425

Recommended Skills

  • Communication
  • Confidentiality
  • Credentialing
  • Data Analysis
  • Databases
  • Optics And Eye Wear Duties

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