Healthcare Credentialing Specialist
hace 2 semanas
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
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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Healthcare Credentialing Specialist
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Credentialing Quality Assurance Specialist
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Credentialing Quality Assurance Specialist
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Caimito Barrio, Puerto Rico Alameda Alliance A tiempo completoAbout the RoleWe are seeking a highly skilled Credentialing Quality Assurance Specialist to join our team at Alameda Alliance. In this role, you will be responsible for auditing the quality of work performed by Credentialing staff to ensure they meet the requirements of Alameda Alliance's regulatory agencies and/or guidelines.Key Responsibilities:Audit...
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Credentialing Specialist
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