Job Description:
The responsibility of the credentialing specialist to ensure that all the credentials provided by the candidates are valid.
The credentialing specialist must be able to keep track of certificates and licenses for their expiration. Some certificates and licenses are required to be renewed from time to time.
The credentialing specialist must be able to maintain compliance with the insurance provider and all the medical regulatory and accrediting institutions.
The credentialing specialist is required to maintain the record and update the database for credentials, certifications, licenses, and insurance contracts.
Process initial credentialing and re-credentialing applications.
Screen practitioners applications and supporting documentation to ascertain their eligibility.
Requirements:
Must be a graduate.
Excellent written and oral communication skills
Minimum 1 year of experience in Credentialing.
Excellent spoken & written English.
Works well within a team and independently