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Facility Credentialing Specialist - Remote in Tennessee
PayCompetitive
LocationFranklin/Tennessee
Employment typeFull-Time
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Job Description
- Req#: FACIL025157
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Affordable Medical/Dental/Vision insurance options
- Generous paid time-off program and paid holidays for full-time staff
- TeleDoc 24/7/365 access to doctors
- 401K retirement accounts with company match
- Opportunity to work in a collaborative, supportive, and caring team environment
- Flexibility to work from home with potential for flexible hours
What to Expect (Job Responsibilities):
- Ensure all contracted providers meet qualifications to provide care through close collaboration with multiple departments
- Review and verify provider credentials, including licenses and certifications, in a timely manner
- Maintain and update provider credentialing information in the system
- Monitor compliance with regulatory requirements and NCQA Standards
- Contact providers to obtain missing or incorrect documentation and follow up as necessary
What is Required (Qualifications):
- High school diploma or equivalent required; post-secondary education preferred
- Previous experience in the healthcare field required
- Prior credentialing experience required
- Proficient computer skills and ability to prioritize and multi-task workload
- Ability to communicate effectively both in writing and verbally
How to Stand Out (Preferred Qualifications):
- Prior experience in network services data management preferred
- Prior experience with Medicare Advantage plans preferred
#HealthcareServices #Credentialing #RemoteWork #CareerOpportunity #HealthcareCareers
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