**Job Title: Credentialing Specialist**
** Must reside in the Arizona (REQUIRED)
**Job Description:**
We are seeking an organized and detail-oriented Credentialing Specialist to join our team. In this role, you will be responsible for managing the credentialing process for healthcare providers within our organization. Your keen attention to detail and thorough understanding of compliance standards will play a critical role in ensuring that our providers meet all necessary qualifications and maintain active credentials.
**Key Responsibilities:**
- Oversee and manage the full credentialing and re-credentialing process for healthcare providers, ensuring accuracy and compliance with applicable regulations and standards.
- Gather, review, and verify all requisite documentation from providers, including licenses, certifications, and education verification.
- Collaborate with healthcare professionals, insurance companies, and regulatory bodies to ensure timely completion of credentialing.
- Maintain updated and precise records of provider credentials in the credentialing database, ensuring all information is current and accessible.
- Conduct continuous monitoring of healthcare providers' credentials and alert necessary parties of any changes or impending expirations.
- Respond to inquiries related to credentialing processes and resolve issues promptly and efficiently.
- Assist with audits and surveys as needed, providing necessary documentation and reports.
- Stay informed about industry trends and changes to credentialing and privileging regulations, applying this knowledge to improve practices.
**Qualifications:**
- Minimum 3 years of recent provider credentialing experience
- High school diploma or equivalent; an Associate's degree or higher in healthcare administration, business, or a related field is preferred.
- Familiarity with medical terminology and healthcare industry regulations.
- Excellent organizational skills with a high level of attention to detail.
- Strong communication skills, both written and verbal, with the ability to work collaboratively with diverse teams.
- Proficient in using credentialing software and database management tools.
- Ability to manage multiple tasks efficiently in a fast-paced environment.
**Why Join Us?**
- Be part of a dynamic and supportive team committed to high standards of healthcare service.
- Opportunities for professional growth and development.
- Competitive compensation and benefits packages.
If you are looking to leverage your skills in credentialing within a healthcare setting that values quality and compliance, we invite you to apply for the Credentialing Specialist position today.
...clients. We want our caregivers to know that they are a valuable part of our team, and we are here to support them throughout their... ...- DSP or CNA experience is a plus but not required - A willingness to work flexible hours - Enjoy spending time with seniors!
...Description Job Description Position Title: High School Social Worker (2025-2026) Match Charter Public School is a free, high-... ...insurance costs and up to $150/month in loan repayment assistance. We are only able to consider applicants who have current...
...Seasonal Warehouse Worker UPS Quick Apply Applying for this role online is quick and easy and you could even schedule your first day of work within 10 minutes! The steps are simple: 1) Provide some basic information to start the application process. 2) Watch...
...ELINT Engineers Datalink Engineers Network Engineers Software Engineers (C++, Java, Linux) Project Engineers Technical Writers Product Trainers System Safety Engineers Configuration/Data Management Integrated Product Support Manager...
...Pacific Northwest and premier employer in Central Oregon. We are looking for Salespeople to join our floor sales team. At Kendall Toyota Bend, our sales department is a fast-paced environment serving clients throughout the community. We are looking for self-motivated,...