Credentialing and Privileging Specialist - Remote

Overview

This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging Office, ensuring compliance with various standards and maintaining accurate documentation.

In Short

• Coordinate credentialing and privileging activities.
• Verify practitioner credentials and background.
• Maintain documentation for regulatory compliance.
• Handle customer questions and complaints.
• Evaluate verifications for discrepancies.
• Document results of verifications and inquiries.
• Maintain credential files according to bylaws.
• Assist in organizing committee agendas.
• Perform other duties as assigned.

Requirements

• Minimum High School / GED.
• 3 years of office administration experience.
• Preferred Associate's Degree.
• 3 years with physician credentialing and privileging.
• 1 year in customer service.
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM).

Benefits

• Comprehensive healthcare coverage.
• Retirement plans.
• Professional development opportunities.
• Work-life balance initiatives.
• Employee assistance programs.