WE ARE SEEKING A CREDENTIALING SPECIALIST FOR AN IMMEDIATE START YOU CAN WORK REMOTELY, BUT MUST LIVE NEAR DETROIT, MI. Under general supervision, responsible for all functions relating to the credentialing and re-credentialing of practitioner applicants. Responsibilities include data entry, data collection, and verification of credentials from primary source and analyzes information collected for presentation to medical staff leadership.
$21-22/hour
Duties:
Responsible for verifications for medical staff and allied health professionals' initial appointments, provisional reviews, reappointments, and privilege delineation
Coordinates the processing of applications. Assure all applications are processed completely and in a timely manner
Verifies required primary source credentialing documentation to ensure medical staff and allied health professional files are current and policies and procedures have been followed to obtain required documentation and verification
Coordinates activities and explains procedure to facilitate the reappointment process
Request confidential information such as case logs, procedures and other sensitive matters
Tracks responses and follows-up on items not received within established time frames
Requirements
2+ Years of Prime Source Credentialing Experience – Required
MUST have 1+ Years of Hospital Credentialing Experience (outpatient/clinic experience does not apply)- Required
MUST be proficient with using MDStaff Credentialing Software – Required
End-to-end provider Credentialing Experience (MDs & DOs) - Required
Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.
Qualified applicants, please send your resume to jmoses@phaxis.com
an equal employment opportunity employer
