Credentialing Specialist

About the Job

Dermatology Clinic seeking a friendly employee to join our team. Seeking a detail-oriented Credentialing Specialist to manage the privileging, enrollment and re-verification process for medical providers. This position is located in North Little Rock, AR.

Key Responsibilities:

• Coordinate new practice/provider onboarding to ensure timely activation to payer contracts.
• Review provider documents for accuracy and manage network provider rosters.
• Resolve network provider issues related to contracting, billing, and attribution.
• Maintain network records and documentation.
• Maintain up-to-date provider data in credentialing databases and ensure timely renewal of licenses/certifications.
• Work with hospitals and health plans for provider appointment.
• Interact with patients and staff in a professional manner that promotes the values of our clinic and promotes teamwork.
• Has a contagious and positive work ethic, inspires others, and exhibits genuine, caring and friendly behavior.
• Has the ability to be coached.
• Protects patients' rights by maintaining the confidentiality of personal and financial information.

Qualifications:

• 1+ years of experience in a physician's office or healthcare credentialing role.
• Experience with NPPES, Credentialing Software, CAQH and PECOS is a plus.
• Excellent data entry and auditing skills.
• Excellent written and verbal skills.
• Great Customer Service.
• Time Management.
• Problem solving.
• Ability to multi-task and work well under pressure.
• Knowledge of basic computer software, and the ability to learn electronic medical records.
• Organization.
• HIPAA compliance.

About the Company

We strive to provide our patients with the most advanced and comprehensive dermatologic care available. We are committed to providing the highest level of expertise in both general dermatology and the treatment of skin cancer. With a wide range of medical and cosmetic dermatology procedures delivered by a team of skilled and experienced professionals, our patients can be confident they are receiving the best care available.