USA
1 day ago
Credentialing Specialist (Remote)

Enjoy what you do while contributing to a company that makes a difference in people's lives. US Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward.

The Credentialing Specialist coordinates, administers and quality controls all aspects of the credentialing and privileging process for physicians and professional staff providers. Enters and maintains specialized applicant information into the centralized credential software application and coordinates the credentialing process for all respective entities. Ensures the credentialing process complies with organizational Medical Bylaws as well as accrediting agency, Federal, and State regulatory standards.  

We have an immediate opening for a full-time Credentialing Specialist to join our team. This position is remote working Monday through Friday, with shift options of 7am - 4pm, 7:30am-4:30pm, or 8am-5pm available.

How You'll Contribute:

Responsible for the maintenance and continued monitoring of CAQH profiles and the credentialing system. Assists in the management of the expirables process to ensure all clinical provider licenses and certificates remain current. Assists physicians with updates and renewal of state licensure, CDS and DEA. Responsible for assisting established USF physicians with initial hospital appointment applications. Assists in completion of reappointment applications for all USF physicians in all regions including check requests for hospital dues. Maintain credentials and hospital appointment records using credentialing system. Credentials all residents and fellows prior to their upcoming rotations with USF using credentialling system.

What You'll Bring:

Requires a minimum of an Associate degree in healthcare with 2 or more years of credentialing, payer enrollment or privileging experience. Must have high level of interpersonal skills and the ability to handle sensitive and confidential information. Must be able to interact and communicate effectively both orally and in writing with individuals at all levels both within and outside of the organization. Knowledge and skills in using personal computers (Windows) with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel and Adobe Acrobat. Work requires continual attention to detail in accuracy, establishing priorities, and meeting deadlines. Interest in becoming CPCS certified. Experience with CAQH Pro preferred. Knowledge of AAAHC, TJC, and NCQA accreditation preferred.

What We Offer:

Competitive pay + bonus Comprehensive training Medical, dental, vision, and 401(k) matching Generous paid time off and holidays Retirement plan Tuition assistance Ability to make an impact in the communities we serve
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