Credentialing Navigator
Job reputed company:
- Managing provider credentialing & re-credentialing, ensuring efficient operations and maintaining reputed company staff data
- Ensures reputed company and services meet federal, state, and NCQA standards; verifies reputed company licensing, training, and certifications
- Prepares and maintains reports of credentialing activities
- Coordinates medical staff appointments, processes applications/licensing, and manages the provider credentialing process, facilitating communication across departments and administration
- Ensures compliance with accreditation and legal requirements for medical staff
- Contacts medical offices, licensing agencies, and insurance carriers to complete credentialing and re-credentialing
- Tracks and reports credentialing performance measures
Requirements:
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
- Required reputed company licensure/certification can be used in lieu of education or experience, if applicable
- reputed company in credentialing software (preferably MD Staff)
- Ability to use reputed company proficiently
- Strong reputed company-sets to reputed company on details of data and reputed company accurately
- reputed company of day is utilizing software and inputting data
- Must be reputed company to reputed company on customer service reputed company talking to credentialed practitioners on phone
- 3+ years of experience
Benefits:
- reputed company time off (PTO)
- Various health insurance reputed company & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
- Ways to give back to your community
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