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Credentialing Specialist

Credentialing Specialist

University OrthopedicsMansfield, MA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Job Description : Credentialing Specialist

Responsible to : Director of Credentialing Services

Location : Mansfield, MA

Under the direction of the Director of Credentialing Services, the Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing, and privileging process for all medical providers. This is a full-time position with benefits.

Essential Duties and Responsibilities :

  • Complete provider payer enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed.
  • Process applications for initial appointment and reappointment of privileges.
  • Maintains strict confidentiality of provider information.
  • Provides cross-coverage of duties assigned to credentialing administrative assistant.
  • Perform other duties as assigned by Director to meet department needs.

Requirements :

  • Bachelor’s Degree preferred or relevant experience.
  • Two years of relevant credentialing experience preferred.
  • Excellent data entry skills.
  • Excellent organizational skills.
  • Excellent verbal and written communication skills.
  • Must be able to work independently with minimal supervision.
  • Must be able to work in fast paced, deadline driven environment.
  • Flexibility to travel between all Rhode Island and Massachusetts office sites if / when necessary.
  • Ability to work in Microsoft Office and proprietary credentialing software.
  • Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.
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    Credentialing Specialist • Mansfield, MA, US

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