Healthcare Credentialing Specialist

hace 2 semanas


Caimito Barrio, Puerto Rico Alameda Alliance A tiempo completo
Main Responsibilities

The Credentialing Coordinator plays a crucial role in ensuring the credentialing and recredentialing processes of healthcare providers and practitioners meet the requirements of the Alliance credentialing policies and regulatory agencies.

Key Responsibilities Include:

  • Coordinating and monitoring the credentialing and recredentialing processes
  • Maintaining the accuracy and integrity of the credentialing database system
  • Preparing and delivering oral presentations to committee members
  • Providing administrative support for Peer Review and Credentialing Committee meetings
  • Monitoring on-going state, federal, and licensing provider sanctions
  • Ensuring credentialing compliance standards are met
Requirements

To be successful in this role, you will need:

  • A Bachelor's degree
  • One to three years of experience within a healthcare/managed care environment
  • NAMSS Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Staff Management (CPMSM) certification
  • Excellent interpersonal, writing, and communication skills
  • Excellent organizational skills and attention to detail
  • Able to maintain strict adherence to deadlines
  • Able to meet productivity and quality goals


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