Credentialing Specialist

Job description

Position Overview : The Credentialing Assistant is responsible to ensuring employees licenses and credentials are up-to-date and maintained within the HR and credentialing workflow process. Assists in preparing and submitting credentialing and recredentialing payor applications. Responsible for follow up on the status of applications for providers and payers and keep a detailed log of all pending and completed work. Communicate the results and status of the applications to providers, payers, managers, and co-workers to ensure we are meeting third party billing requirements and State specific regulations. Specific Responsibilities: Education and Experience: High school required, associates degree preferred. Healthcare experience preferred. - Reviews onboarding applications from HR for completeness and accuracy. - Develops credentialing workflows, processes, & policy/procedures for the department including, but not limited to, creating Job Aids, Quick Reference Guides, and FAQ's as needed for internal & external stakeholders. - Assure compliance with and implement policies/procedures for the accurate and timely processing of credentialing applications for providers and facilities. -...