Remote Credentialing Specialist

$49,920 - $49,920/Yr

TEKsystems - Newnan, GA

Full-time

Remote - Newnan, GA

10,001+ employees

Professional, Scientific, and Technical Services

About the position

The Remote Credentialing Specialist is responsible for managing the end-to-end credentialing process for healthcare providers, ensuring compliance with regulations and standards. This role involves conducting primary source verifications, maintaining credentialing databases, and overseeing timely submissions of credentialing applications. The specialist will communicate effectively with stakeholders and monitor credentialing deadlines to ensure timely renewals of licenses and certifications.

Responsibilities

• Manage the end-to-end credentialing process for healthcare providers, including initial applications and re-credentialing.
• Conduct thorough primary source verifications to ensure the accuracy and validity of credentials.
• Complete hospital and payer credentialing processes, maintaining compliance with all regulations and standards.
• Maintain and update CAQH profiles and other credentialing databases with meticulous attention to detail.
• Oversee credentialing applications, ensuring timely submission, tracking, and resolution of any issues in a fast-paced environment.
• Demonstrate the ability to prioritize tasks effectively while adapting to changing priorities and requirements.
• Maintain a high level of professionalism in all interactions with providers, internal teams, and external organizations.
• Actively monitor credentialing deadlines and ensure timely renewals of licenses, certifications, and privileges.
• Communicate effectively with internal and external stakeholders to resolve credentialing-related inquiries or concerns.

Requirements

• Provider and Payor Credentialing experience
• Experience with CAQH
• Ability to meet deadlines
• Familiarity with Medical Staff Services and Credentialing Software
• Strong provider communication skills

Benefits

• Medical, dental & vision insurance
• Critical Illness, Accident, and Hospital insurance
• 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
• Voluntary Life & AD&D insurance for the employee and dependents
• Short and long-term disability insurance
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Paid Time Off (PTO), Vacation or Sick Leave