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.

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