- Credentialing requirements for insurances
- Knowledge of CAQH profile and attestation
- Application process and verification of Medicare (PECOS) and Medicaid
- Medical / Commercial Insurance application process
- Hospital Privileges application process
- Working with deadlines in a timely manner
- Maintaining the credentialing database, especially the tracking workflow and share drive.
- Professional oral and written communication skills
- Detail oriented and self-motivated.
- Customer service experience
- Organizational skills
- Tech savviness: Windows, Microsoft Office applications (Outlook, Excel, Teams)
- Data entry
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Credentialing Specialist - Davie, United States - Brightwing
Description
Job Description
Job DescriptionThis position is primarily responsible for the timely and compliant processing credentialing and re-credentialing applications of healthcare providers (provider enrollment). We work directly with providers and the clinic stakeholders. You will oversee initial and re-credentialing process for health care providers. Complete, review and follow-up on provider credentialing applications and accompanying documents to ensure accuracy and completeness. The candidate will have familiarity with the healthcare industry and practices and a clear understanding of the credentialing process as it pertains to insurances.
Some qualification we will be looking for are:
Plus:
