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Medical Credentialing Specialist

  • Location: Somerset, NJ, United States, 08873
  • Job Type:Contract

Posted 19 days ago

  • Sector: Professional
  • Contact: Shannon Block
  • Contact Email:
  • Contact Phone: 6466520976
  • Duration: 2 months 9 days
  • Start Date: 03/01/2021
  • Expiry Date: 19 March 2021
  • Job Ref: 21-02941

We have a need for temporary support for our Credentialing department Data entry into CAQH database Enters data and transmit provider applications to payers commercial government and others Monitors application progress and submission deadlines for credentialing or recredentialing Conducts followup to obtain required documentation resolve identified issues ensure timely processing and communicate updates as needed Updates and maintains credentialing database housing provider data and documentation Regularly conducts audits of the database and other related files to ensure current and accurate data Maintains copies of current state licenses certificates malpractice coverage and any other required credentialing documents Tracks expirations to ensure timely renewals Audits provider application files for accuracy
Required SkillsExperience

Education and Experience High School Diploma or GED equivalent required Associates Degree preferred Certified Provider Credentialing Specialist CPCS certification preferred Two years of relevant credentialing experience preferred Knowledge Skills and Abilities Knowledge and understanding of credentialing processes Ability to organize prioritize work and manage multiple priorities simultaneously Excellent verbal and written communication skills Excellent attention to detail Ability to research and analyze data Ability to work independently with minimal supervision Proficiency with Microsoft Office products

High school diploma or equivalent