Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Flexible remote work option available
- Supportive and collaborative work environment
- Chance to contribute to the credentialing process for healthcare providers
- Engaging responsibilities with a focus on maintaining provider records and compliance

What to Expect (Job Responsibilities):
- Process initial applications and reappointments for hospitals, surgical centers, and managed care entities for assigned divisions
- Maintain complete files of providers’ licensure and credentials, monitoring renewals and forwarding copies as needed
- Update and maintain the credentialing database, including demographic and licensure information
- Track continuing medical education/ACLS credits and other training requirements for providers
- Perform other credentialing duties as requested while adhering to company policies and procedures

What is Required (Qualifications):
- High School graduate or equivalent; A.S. or B.S. degree in business administration or a healthcare-related field preferred
- Minimum of five years of experience in credentialing
- Knowledge of organization’s policies, procedures, and systems
- Skilled in computer applications including MS Word, MS Excel, and database administration
- Strong verbal and written communication skills

How to Stand Out (Preferred Qualifications):
- CPMSC/CPCS Certification preferred
- Knowledge of NCQA and/or JCAHO Accreditation standards
- Familiarity with Federal and State Regulations on Confidentiality and Peer Review Guidelines
- Ability to work independently with limited supervision
- Experience working effectively with staff, physicians, and external customers

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