What are the responsibilities and job description for the Credentialing Specialist position at University Orthopedics?
Job Description: Credentialing Specialist
Responsible to: Director of Credentialing Services
Location: Rhode Island
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 in person 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.