Credentialing Coordinator
2021-12-22
Full Time
Description
Medical Practice Management Solutions is currently seeking a motivated candidate for a management position in our quickly growing organization. Candidates must be detail oriented and possess at least 2 years of credentialing experience.
Job Duties:
- Processing initial credentialing and re-credentialing applications.
- Screening practitioners' applications and supporting documentation to ascertain their eligibility.
- Collecting information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sources.
- Identifying discrepancies in information and conducting follow-ups.
- Presenting applications to the facility?s Credentialing Committee.
- Assisting customers with credentialing inquiries.
- Responding to health plan provider inquiries.
- Capturing primary source documentation in computer databases.
- Ensuring data is backed up.
- Ensuring compliance with applicable laws, regulations, procedures, and policies.
Requirements:
- Ability to organize and prioritize work
- Meticulous eye for detail
- Ability to manage multiple priorities
- Communication skills both on the phone and in-person
- Ability to research and analyze data
- Experience working with Microsoft Word and Excel
We offer a full benefits package including: health, vision, and dental insurance, 401 (K), life insurance, disability, and paid vacation. This is a full time position and on the job training is available. Candidates must be able to pass a background check and drug screen.