Credentialer in Acworth, GA at Prestige Staffing

Date Posted: 8/8/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Acworth, GA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/8/2019

Job Description

JobID: 23042



Credentialing Specialist

Pay:  $16-20/hr (based on previous experience)

Location:  Acworth, GA

Responsibilities:

  • Process applications and reappointment paperwork, checking for full completeness and accuracy.
  • Collect and process significant amounts of verification and accreditation information, and maintain and update accurate databases for both practitioners and facilities.
  • Obtain pertinent education, training, experience, and licensure content.
  • Prepare regular auditing, as well as maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent.


Requirements:

  • Ability to communicate effectively, both orally and in writing.
  • Program planning and implementation skills.
  • Knowledge of related accreditation and certification requirements.
  • Knowledge of medical credentialing and privileging procedures and standards.
  • Ability to analyze, interpret and draw inferences from research findings, and prepare reports.
  • Working knowledge of clinical and/or hospital operations and procedures.
  • Informational research skills.
  • Ability to use independent judgment to manage and impart confidential information.
  • Database management skills including querying, reporting, and document generation.
  • Ability to make administrative/procedural decisions and judgments.
  • High School Diploma.
  • Minimum two years of experience credentialing for Managed Care Insurance Enrollment, Medicare (PECOS) and Medicaid
  • Working knowledge of CAQH Proview
  • Knowledge of payer credentialing process, ability to organize and prioritize work and manage multiple priorities