Credentialing Specialist (Flagstaff, AZ) at North Country HealthCare Flagstaff, AZ
Take your medical experience to the next level.
As a Specialist, you will be responsible for all aspects of the credentialing, recredentialing and privileging processes for all providers at North Country HealthCare, Inc.
(NCHC).
This includes ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities.
Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
ESSENTIAL DUTIES AND
Responsibilities:
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and recredentialing applications as well as enrollment and reenrollment with the insurance plans; 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 corporate provider contract files.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and systems.
Tracks license and ceritification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plan, agencies and other entities.
Processes applications for appointment and reappointment of privileges to NCHC as well as hospital privileges.
Tracks license and DEA expirations for appointed providers.
Maintains appointment files and information in credentialing database.
Audits health plan directories for current and accurate provider information.
Maintains confidentiality of provider information.
Provides credentialing and privileging verifications.
Performs other dutes as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty mentioned satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND
Experience:
High school diploma, plus specialized schooling and/or on the job education.
Two or more years' experience with all aspects of the credentialing, recredentialing and privileging processes preferred.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including letters, memos and e-mails.
Excellent attention to detail.
Ability to research and analyze data.
Ability to establish and maintain effective working relationships with providers, management, and contacts outside the organization.
PAY AMOUNT:
$16.
00/HR to $19.
00/HR plus depending on experience.
North Country is a VEVRAA Federal Contractor and an Equal Opportunity Employer VEVRAA Federal Contractor and Equal Opportunity Employer.
Estimated Salary: $20 to $28 per hour based on qualifications.
As a Specialist, you will be responsible for all aspects of the credentialing, recredentialing and privileging processes for all providers at North Country HealthCare, Inc.
(NCHC).
This includes ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities.
Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
ESSENTIAL DUTIES AND
Responsibilities:
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and recredentialing applications as well as enrollment and reenrollment with the insurance plans; 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 corporate provider contract files.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and systems.
Tracks license and ceritification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plan, agencies and other entities.
Processes applications for appointment and reappointment of privileges to NCHC as well as hospital privileges.
Tracks license and DEA expirations for appointed providers.
Maintains appointment files and information in credentialing database.
Audits health plan directories for current and accurate provider information.
Maintains confidentiality of provider information.
Provides credentialing and privileging verifications.
Performs other dutes as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty mentioned satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND
Experience:
High school diploma, plus specialized schooling and/or on the job education.
Two or more years' experience with all aspects of the credentialing, recredentialing and privileging processes preferred.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including letters, memos and e-mails.
Excellent attention to detail.
Ability to research and analyze data.
Ability to establish and maintain effective working relationships with providers, management, and contacts outside the organization.
PAY AMOUNT:
$16.
00/HR to $19.
00/HR plus depending on experience.
North Country is a VEVRAA Federal Contractor and an Equal Opportunity Employer VEVRAA Federal Contractor and Equal Opportunity Employer.
Estimated Salary: $20 to $28 per hour based on qualifications.
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