Lumexa Imaging
Credentialing Specialist
The Credentialing Specialist is responsible for all aspects of the credentialing and payer enrollment process for all providers and facilities. They are responsible for ensuring providers and facilities are credentialed, and enrolled in accordance with established accreditation, regulatory and policy requirements. Maintain up-to-date data for each provider and facility in credentialing database and online systems.
Responsibilities
Compiles and maintains current and accurate data for all providers using the credentialing software.
Completes provider and facility payer enrollment applications; monitors applications to ensure timely start dates and no lapses in enrollment.
Maintains copies and tracks current state licenses, DEA certificates, health history, malpractice coverage and any other required credentialing documents for all providers and facilities.
Maintains knowledge of current accreditation, regulatory and policy requirements.
Other duties or projects as assigned.
Required Experience
A minimum of two years of Payer and Provider credentialing enrollment experience
Knowledge and Skills
Knowledge and understanding of the credentialing and enrollment process
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Excellent attention to detail
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and credentialing software
CAQH experience strongly preferred
MD Staff software experience required
Education
Associates degree preferred or appropriate combination of education and experience
Seniority Level Associate
Employment Type Full-time
Job Function Health Care Provider
Industry Hospitals and Health Care
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Responsibilities
Compiles and maintains current and accurate data for all providers using the credentialing software.
Completes provider and facility payer enrollment applications; monitors applications to ensure timely start dates and no lapses in enrollment.
Maintains copies and tracks current state licenses, DEA certificates, health history, malpractice coverage and any other required credentialing documents for all providers and facilities.
Maintains knowledge of current accreditation, regulatory and policy requirements.
Other duties or projects as assigned.
Required Experience
A minimum of two years of Payer and Provider credentialing enrollment experience
Knowledge and Skills
Knowledge and understanding of the credentialing and enrollment process
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Excellent attention to detail
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and credentialing software
CAQH experience strongly preferred
MD Staff software experience required
Education
Associates degree preferred or appropriate combination of education and experience
Seniority Level Associate
Employment Type Full-time
Job Function Health Care Provider
Industry Hospitals and Health Care
#J-18808-Ljbffr