Credentialing Specialist - Healthcare / Medical

Job Description

Credentialing Specialist

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Location: Plantation, FL

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Employment Type: Full-Time

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We are seeking a detail-oriented Credentialing Specialist to support the credentialing and re-credentialing of providers participating in our hearing and vision provider networks.

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Key Responsibilities

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• Process provider credentialing and re-credentialing applications
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• Maintain provider records and credentialing files
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• Track provider credentialing documents and ensure timely processing
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• Communicate with providers to obtain required documentation and updates
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• Review provider applications for completeness and accuracy
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• Monitor provider credentialing status and maintain accurate records
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• Draft, track, and update provider credentialing approval letters
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• Coordinate with credentialing verification organizations and internal teams
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• Support Credentialing Committee meetings and maintain meeting records
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• Generate reports related to credentialing activities and provider status
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• Maintain electronic and hard-copy credentialing files in accordance with company standards
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Qualifications

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• Healthcare credentialing experience preferred
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• Experience with provider relations, managed care, or healthcare operations
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• Strong organizational and follow-up skills
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• Excellent attention to detail and accuracy
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• Strong communication and customer service skills
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• Proficiency in Microsoft Excel and Microsoft Office applications
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• Ability to manage multiple priorities in a fast-paced environment
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• Ability to work independently and collaboratively
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Preferred Qualifications

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• Experience with provider credentialing and re-credentialing
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• Knowledge of NCQA credentialing standards
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• Experience working with healthcare providers and provider networks
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• Managed care organization experience
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• Experience in healthcare administration or provider support
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If you're looking to grow your career in healthcare operations and provider credentialing, we'd love to hear from you.

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Interested candidates may send their resume to: View email address on ziprecruiter.com

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