Job Description
Job Title : Credentialing Specialist
Location : Golden Valley, Minnesota
Annualized Compensation : $45,000 to $60,000
Schedule : Monday Friday from 8 : 30am to 5 : 00pm
Are you ready to embark on a thrilling journey at the heart of healthcare excellence? Twin Cities Physicians is seeking a dynamic and detail-oriented Credentialing Specialist to join our dedicated team.
As a Credentialing Specialist, you'll play a pivotal role in ensuring that our esteemed medical staff is equipped to provide top-tier healthcare services.
If you're ready to dive into a world of precision, collaboration, and innovation while shaping the future of healthcare in Minnesota, then we invite you to explore this enticing opportunity with us!
Credentialing Specialist Responsibilities :
- Manage CAQH, PECOS, and NPI registry for MNWC providers when applicable.
- Maintain and organize current state licenses, CSR, DEA certificates, malpractice coverage, and other required credentialing documents.
- Track license and certification expirations to ensure timely renewals for all providers.
- Collaborate with the Revenue Cycle Manager to ensure accurate provider attachments to existing and new contracts.
- Keep provider demographics up-to-date with all payers.
- Conduct audits of health plan directories to ensure accurate provider information.
- Stay informed about current health plan and facility requirements for credentialing providers.
- Assist in miscellaneous billing duties as assigned.
Credentialing Specialist Qualifications :
- Possess a Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
- Demonstrate a track record of successful experience in healthcare credentialing, privileging, and re-credentialing.
- Have familiarity with CAQH, PECOS, NPI registry, and other pertinent credentialing platforms.
- Exhibit strong organizational abilities and meticulous attention to detail, especially in documentation management.
- Maintain comprehensive knowledge of state licensing, CSR, DEA certificates, and malpractice coverage requirements, alongside effective communication skills for seamless collaboration with the Revenue Cycle Manager and accurate provider demographic maintenance.
Requirements
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