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Credentialing Specialist

Addison, TX 75001

Posted: 04/29/2024 Employment Type: Direct Hire Industry: IT / Engineering Job Number: 7854 Pay Rate: 19.00

Job Description


Credentialing Specialist

Employment Type: Fully Remote 
Salary: Non-Exempt $19.00 to $23.50 per hour (max)

The Credentialing Specialist is responsible for initiating, tracking, and updating all credentialing processes. This individual should possess a high degree of professionalism, strong interpersonal skills, attention to detail, and maintain strict confidentiality.

Essential Job Duties and Responsibilities:
  • Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, CMS).
  • Maintain, track, and update all credentialing documents, including checking all applications for accuracy and completeness, and providing status updates to relevant parties in a timely manner.
  • Complete initial and re-credentialing applications for all physicians.
  • Update and maintain all licensures, CVs, DEAs, and certificates.
  • Track expirable information for all providers to ensure timely renewals.
  • Maintain excellent working relationships with facilities to ensure timely and accurate credentialing status.
  • Maintain strict confidentiality regarding protected health information, understanding HIPAA Privacy & Security policies and procedures.
  • Maintain strict confidentiality regarding provider information.
  • Perform other duties and special projects as assigned by the Supervisor or Director.

Education and/or Experience:
  • High School Diploma or GED.
  • Minimum of two years’ experience in credentialing.
  • Experience with Excel, Word, Adobe.

Skills/Specialized Knowledge:
  • Knowledge of Joint Commission Standards.
  • Proficient and accurate in data entry.
  • Ability to prioritize workload and meet strict deadlines.
  • Strong problem-solving skills and attention to detail.
  • Ability to prepare and write reports, summaries of work/work projects.
  • Strong personal motivation with the ability to work with little supervision and attention to detail while working in a deadline-driven environment.
  • Ability to think creatively, highly driven, self-motivated, highly organized.
  • Ability to courteously work with medical staff, hospital staff, insurance company representatives, co-workers, and others.
  • Familiar with Texas Standardized Credentialing Application.
  • Familiar with the verification process.
  • Familiar with the ability to apply a physician to a Licensing Authority.

Other Requirements:
  • Must maintain a professional appearance.
  • Ability to be at work on a regular and consistent basis.

 
WSP specializes in filling your company’s contract, contract-to-hire, direct hire, contingency, and executive positions with professional candidates. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals, and RPO Service offerings we create models to deliver a world-class service, with a sense of urgency and professionalism. Our connections and our candidates combined with a staff backed by over 20 years of experience, ensure that our clients are seeing the right candidates for their career openings.

WSP is committed to creating a diverse environment and is proud to be an equal opportunity employer.

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About Addison, TX

Discover exciting job opportunities around Addison, Texas! Nestled in the vibrant Dallas-Fort Worth metroplex, Addison offers a unique blend of thriving businesses, upscale dining spots like Kenny's Wood Fired Grill, fascinating art galleries, and lively entertainment options like WaterTower Theatre. With its strategic location, diverse industries, and renowned events like Taste Addison and Oktoberfest, this area provides endless growth possibilities for job seekers. Come join us in the heart of Texas and explore career paths that match your ambition and passions. Let's build your future together in Addison!