Credentialing Specialist I
TEKsystems
TEKsystems is hiring 3 credentialing specialist to join our clients team. This role is REMOTE/Work from home. Candidates MUST live in the state of TEXAS.
Description
The Credentialing Specialist is responsible for credentialing individual facility and/or ancillary medical/surgical providers to ensure all credentialing standards and internal requirements are met and maintained.
Responsibilities:
+ Verifies and maintains all network individual and/or facility/ancillary providers information.
+ Monitors disciplinary actions and follows up accordingly. Corresponds with licensing board hospitals certification agencies training programs and medical groups to resolve any issues.
+ Ensures and maintains overall accuracy of credentialing database. Gathers data builds/runs reports and sends out updates.
+ Corresponds with licensing board hospitals certification agencies training programs and medical groups practitioners office staff provider network administrators contracting and management to resolve issues.
+ May review and identify credentialing or re-credentialing practitioners including verifications of correspondence data entry etc. in accordance with company policies and procedures.
+ Reviews and analyzes reports policies and procedures summarizes analyzes and makes notations in reports for feedback to groups and for distribution to management and Credentialing Committee.
+ Assists in the preparation of file reports and binders for monthly Credentialing Committee meetings including pre-and post-Committee functions.
+ Assists on internal projects to obtain follow-up information as requested by Credentialing Committee or Peer Review Teams.
+ Performs other duties as assigned.
Skills & Qualifications
High school diploma required
Associates degree or higher in Business Administration, Health Care Administration or related field is preferred
Prior customer service experience is required
Must reside in the state of TEXAS
Pay and Benefits
The pay range for this position is $20.00 - $20.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Feb 14, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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