Credentialing Specialist

Credentialing Specialist

The Credentialing Specialist plays a vital role in supporting the credentialing and re-credentialing of Iowa Ortho providers, clinic staff, and surgery staff. This position helps ensure all credentials are accurate, complete, and compliant with regulatory requirements while contributing to the high standards of care our patients expect.

Key Responsibilities:

• Preparing and submit credentialing and re-credentialing applications for providers, clinic staff, and surgery staff.
• Maintain accurate and organized credentialing records and documentation.
• Communicate with insurance companies, hospitals, and other entities to support the credentialing process.
• Track and monitor expiration dates for provider and staff licenses, certifications, and other required credentials, including mandatory reporter training and professional certifications, ensuring timely renewals.
• Track and maintain records of continuing education (CE) requirements for providers and staff, ensuring compliance with licensing boards and organizational policies.
• Learn and apply credentialing regulations, payer requirements, and industry best practices.
• Respond to credentialing-related inquiries and assist providers, clinic staff, and surgery staff as needed.
• Support administrative tasks related to credentialing, including data entry and file management.

Requirements:

• Prior Credentialing Experience.
• Prior administrative or healthcare experience.
• Ability to learn and follow credentialing procedures and regulations.
• High school diploma or equivalent required; associate's or bachelor's degree preferred.
• Strong attention to detail and organizational skills.
• Strong communication skills and ability to work collaboratively.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).

Why Choose Iowa Ortho?

At Iowa Ortho, we are guided by our IMPACT values, and we believe in fostering a culture that prioritizes both professional excellence and compassionate care:

• Innovation that Drives Positive Outcomes (I)
• Motivation for Exceptional Care (M)
• Passion for Quality in Everything We Do (P)
• Accountability Through Open and Honest Communication (A)
• Commitment to Continued Growth (C)
• Teamwork (T)

• Competitive Benefit Package: Competitive pay, health, dental, 160hrs paid time off, paid holidays, 401(k) with company match, profit-sharing, employee discounts and more.
• Center of Excellence: Physician-owned orthopedic clinic and surgery center dedicated to providing exceptional medical care to the people of central Iowa. Discover why Iowa Ortho is a recognized center of excellence in orthopedic care.
• Cutting-Edge Environment: Work in a state-of-the-art facility that embraces the latest advancements in medical technology.
• Team Atmosphere: Join a collaborative team that supports one another and is committed to enhancing patient care.
• Professional Growth: Opportunities for career advancement and continuous learning.

Join our team and be a part of our commitment to delivering gold-standard healthcare!

*Please note our first point of contact may be by email. Please check your spam folder, as unknown senders sometimes wind up in spam or junk.

Iowa Ortho is a privately held medical practice. Candidates who receive a conditional offer of employment at Iowa Ortho will be required to complete a criminal background check, education verification, reference checks, and an initial TB test.

Iowa Ortho is committed to a diverse and inclusive workplace. Iowa Ortho is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.