Credentialing Specialist
New
P
Preferred Therapy PartnersHealthcare credentialing
Location Type: Remote - ArizonaFull-Time
Salary17.31 - 23.08 USD per hour
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Job Details
- Required Skills
- Microsoft Excel
Requirements
- High school diploma or equivalent experience.
- Strong attention to detail and self-motivation.
- Effective written and verbal communication skills.
- Ability to establish and maintain positive working relationships with providers, leadership, staff, and external partners.
- Proficiency in Microsoft Office applications, including Word and Excel.
- Proficiency in Adobe Acrobat and web-based systems.
- Ability to organize and prioritize work, manage multiple responsibilities, and meet deadlines in a fast-paced environment.
- Previous experience with healthcare credentialing, provider enrollment, revenue cycle operations, or other healthcare administrative functions is preferred.
- Experience supporting healthcare organizations, including physical therapy, rehabilitation, or related clinical settings, is preferred.
Responsibilities
- Maintain accurate practitioner data, electronic files, and credentialing records in the credentialing database.
- Access and manage practitioner information through CAQH and paper application systems.
- Perform primary source verifications and maintain licensing, credentialing, certification, and insurance records.
- Track license, certification, insurance, and continuing education requirements, including expiration and renewal dates.
- Communicate with practitioners and internal stakeholders about application status, credentialing requirements, and outstanding documentation.
- Conduct credentialing and recredentialing in accordance with regulations, payer requirements, accreditation standards, and company policies.
- Monitor credentialing files and escalate delays, deficiencies, or compliance concerns.
- Maintain the confidentiality and security of practitioner information and credentialing records.
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