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Woodland Park

    Credentialing Assistant - Woodland Park, United States - Coda Staffing

    Coda Staffing
    Coda Staffing Woodland Park, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    Job description

    As a Credentialing Assistant, you'll work closely with the Credentialing Specialist. By verifying and auditing credentials, you'll be part of a team devoted to upholding standards of excellence and providing the highest level of care to patients.

    Responsibilities & Duties

    • Manage the credentialing process for healthcare providers, including physicians, nurses, and other licensed professionals.
    • Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted.
    • Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards.
    • Coordinate with internal departments and external agencies to obtain and update relevant provider information.
    • Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation.
    • Communicate with providers to address any discrepancies or missing information.
    • Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
    • Stay up-to-date with industry regulations and requirements, ensuring compliance at all times.
    • Assist in preparing for and participating in audits and regulatory reviews.
    • Provide support and guidance to internal staff regarding credentialing and privileging processes.

    Qualifications & Skills

    • Bachelor's degree in healthcare administration, business, or a related field preferred.
    • Minimum of 1-2 years of experience in credentialing or provider enrollment.
    • Proficient in using credentialing software and databases for data entry and maintenance.
    • Excellent attention to detail and ability to work with complex documents.
    • Strong analytical and problem-solving skills.
    • Exceptional organizational and time management abilities.
    • Effective communication and interpersonal skills.
    • Ability to work independently and collaboratively within a team.

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