Job Description:
Create and maintain files for Credentialing applications and renewals
Compile and maintain current and accurate data for all providers
Completion and submission of provider Enrollment applications
Follow up on all submitted applications
Maintain Credentialing database
Assist with filing, mailing, and scanning as needed
Generates and maintains records and demonstrates efficiency and accuracy in the Credentialing and Re-credentialing of network providers
Skills/Experience:
Flexible to work on the night shift
Hospital/Healthcare experience
Minimum of 1 year of Provider Enrollment experience
Experience using PECOS, processing Enrollment with Medicaid, and using CAQH
Excellent communication skills are required, along with the desire to work as a Team member
Experience in MS Office Suite and the ability to navigate through Websites
Should be aware of the CAQH Profile and Terminologies of Credentialing