Credentialing Specialist I

Buffalo, NY 14202

Posted: 10/09/2018 Employment Type: Contract Industry: ADMIN Job Number: 17169

This is a contract role with a client for a Credentialing Specialist in Buffalo, NY.

Pay Rate: 16-17/hr

Essential Duties

  • Performs credentialing/re-credentialing duties for providers and facilities by collecting, maintaining and processing the credentialing and re-credentialing information from providers.
  • Verifies confidential information via subscription websites as needed for completing the credentialing and re-credentialing process
  • Performs necessary queries and background checks required by regulatory agencies by accessing various agency data banks and websites
  • Ensures information is appropriately tracked in system
  • Reviews provider and facility enrollment applications and certifications to obtain missing information or verification according to regulatory requirements
  • Contacts providers through email phone or written correspondence utilizing template
  • Responds to identified outstanding provider and facility credentialing issues and assists in resolution
  • Answers internal and external inquires of application status via phone and/or written correspondence
  • Prepares data tracking reports by entering required data Assembles materials necessary for committee meetings
  • Ensures all applicable applications are available for review by the Medical Director Performs related clerical duties
  • Files, faxes and copies documents
  • Prepares and mails or faxes delinquent credentialing or re-credentialing letters to providers and facilities

Qualifications

  • High School Diploma required
  • 1-2 years working experience in a healthcare administrative support position;
  • Credentialing certification from a nationally recognized organization
  • Must meet qualifications to perform the job including satisfactory completion of all training and testing
    • Data Entry 9000 KPH
    • Correspondence test
    • CRM Navigation
  • Ability to multitask in fast paced environment
  • Ability to effectively communicate in both written and verbal communication with internal and external contacts
  • Microsoft Office proficiency
  • Ability to utilize basic office equipment including PC, scanner, telephone, copier, printer and fax

Credentialing Specialist - 17169
Oxford Solutions is a professional staffing firm that specializes in the placement of talented professionals into challenging, career-enriching opportunities. We're based in Pittsburgh, PA, but we have openings with major clients located nationwide. We provide multiple avenues of employment to include contract, contract-to-hire and direct placement. Our well-trained staff of recruiters will work with you to help land your first job or your dream job and strive to always affect people's lives in a positive way.

morgan wienskovich

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