Credentialing Specialist

Credentialing Specialist

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.