What are the responsibilities and job description for the Credentialing Specialist position at Rhode Island Counseling Associates?
We are looking for a Credentialing Specialist that will be responsible for all aspects of the credentialing, re-credentialing, and privileging processes for all providers, both internal and external. Maintain up-to-date data for each provider in credentialing databases and online systems.
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
- Compiles and maintains current and accurate data for all providers.
- Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Maintains corporate provider contract files.
- Maintains knowledge of current health plan and agency requirements for credentialing providers.
- Sets up and maintains provider information in online credentialing databases and system.
- Ensures practice addresses are current with health plans, agencies and other entities.
- Processes applications for appointment and reappointment of privileges.
- Audits health plan directories for current and accurate provider information.
- Ability to follow PHI, HIPAA and other security guidelines
Qualification
- 1 or more years relevant experience
Other Skills/Abilities
- Strong verbal and written communication skills
- Ability to endure large volumes of data entry & information management
- Strong time management skills, especially with demanding and recurring deadlines
- Ability to be innovative and establish priorities
- Keen Attention to detail and critical thinking
Job Type: Part time
Experience:
- Physician Credentialing: 1 year (Required)
Schedule:
- 4 Hour Shift
- Monday to Friday
COVID-19 considerations:
To keep our staff safe we do temperature checks every morning, everyone wears face masks while in the office, and sanitizer for hands, desk and equipment. Employees desks are at least 6 feet apart.
Experience:
- Medical Credentialing: 1 year (Preferred)
Job Type: Part-time
Pay: $16.00 - $21.00 per hour
Work Location: In person
Salary : $16 - $21