Open Health Care Clinics
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Credentialing Specialist
position at
Open Health Care Clinics .
Responsibilities
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and recredentialing applications; monitors applications and follows up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Processes applications for appointment and reappointment of privileges.
Tracks license, DEA and professional liability expirations for appointed providers.
Maintains appointment files, and information in credentialing database.
Audits health plan directories for current and accurate provider information.
Education and Qualifications Required Education:
High school diploma or equivalent required. Associate or Bachelor degree preferred.
Skill, Licensure and Knowledge Requirements:
Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred. File Management and Organization, Excellent Verbal and Written Communication, Proficient Typing, Data Entry, Attention to Detail, Confidentiality, Thoroughness, Experience with Microsoft Word and Excel.
Physical and Mental Requirements
Handles a multitude of tasks simultaneously and communicates with staff in verbal and written form.
Moderate noise (i.e., business office with computers, phone, and printers, light traffic).
Ability to work in a confined area.
Ability to sit at a computer terminal for an extended period of time.
Travel or Special Requirements Driving during the workday as well as local or out of state travel may be required to perform job duties.
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Credentialing Specialist
position at
Open Health Care Clinics .
Responsibilities
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and recredentialing applications; monitors applications and follows up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Processes applications for appointment and reappointment of privileges.
Tracks license, DEA and professional liability expirations for appointed providers.
Maintains appointment files, and information in credentialing database.
Audits health plan directories for current and accurate provider information.
Education and Qualifications Required Education:
High school diploma or equivalent required. Associate or Bachelor degree preferred.
Skill, Licensure and Knowledge Requirements:
Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred. File Management and Organization, Excellent Verbal and Written Communication, Proficient Typing, Data Entry, Attention to Detail, Confidentiality, Thoroughness, Experience with Microsoft Word and Excel.
Physical and Mental Requirements
Handles a multitude of tasks simultaneously and communicates with staff in verbal and written form.
Moderate noise (i.e., business office with computers, phone, and printers, light traffic).
Ability to work in a confined area.
Ability to sit at a computer terminal for an extended period of time.
Travel or Special Requirements Driving during the workday as well as local or out of state travel may be required to perform job duties.
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