Job Description
Dean’s Professional Services is now hiring a qualified Credentialing Specialist 1 to work for a healthcare organization in Texas. – Remote
We are on a mission to create care that is more convenient and professional. With solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!
Credentialing Specialist 1 is responsible for credentialing individual, facility and/or ancillary medical/surgical providers to ensure all credentialing standards and internal requirements are met and maintained.
Job Responsibilities:
- Verifies and maintains all network, individual, and/or facility/ancillary providers’ information.
- Monitors disciplinary actions and follows up accordingly.
- Correspond with licensing boards, hospitals, certification agencies, training programs, and medical groups to resolve any issues.
- Ensures and maintains the overall accuracy of the credentialing database.
- Gathers data, builds/runs reports, and sends out updates.
- Corresponds with the 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., by company policies and procedures.
- Reviews and analyzes reports, policies, and procedures, summarizes, analyzes, and makes notations in reports for feedback to groups and distribution to management and the 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 the Credentialing Committee or Peer Review Teams. Performs other duties as assigned
Job Requirements:
- High School Diploma – Required
- 0-2 years of Credentialing experience within a health plan setting – Required
- Associate degree in business administration, Health Care Administration, or related field –Preferred
- Ability to type 35 WPM
- Utilize multiple systems at once
- Data Interpretation
- Experience with Primary Source Verification, NCQA, Board Certification Verification, Medical Malpractice, Credentialing Committee
Job Details:
- Schedule: M-F 8:00 am – 5:00 pm
- Starting at $16.00/hr. (based on experience) + benefits.
- Full benefits – healthcare, dental, vision, 401k program.
- Temporary Position
Dean’s Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visit .
Job Tags
Full time, Temporary work, Immediate start, Remote job,