Credentialing Specialist

Company: Spherion
Location: Rockledge
Posted on: May 3, 2021

Job Description:

We are currently looking for experienced Credentialing Specialist whose sole purpose is to help provide quality medical care.

Responsibilities: -Perform the initial credentialing and re credentialing functions for all levels of healthcare workers -Maintain timely and accurate data entry and periodically revise practitioner data in the credentialing database; maintain practitioner paper and electronic data files for practitioners -Monitor expiring licensure, board and professional certifications and other expirable documents with practitioners within the prescribed time frames as outlined in the policies and procedures, assisting practitioners with timely renewal as appropriate and escalating to manager and field management as appropriate -Conduct sanctions and compliance monitoring and alert Management of any undisclosed negative findings immediately. -Assist healthcare workers when needed, in a timely fashion, to ensure goals are achieved per contract -Monitor and report progress of each healthcare worker -Adhere to policies and procedures including timely delivery of completed work and use of resources -Identify, analyze and resolve extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners and ultimately bill and obtain reimbursement for services rendered; discover and convey problems to Manager -Manage and coordinate all background checks and any required registration -Perform all other duties as assigned to assist in the success of the credentialing team

Working hours: 8:00 AM - 5:00 PM (Various Shifts Available)

Skills: -Exceptional critical thinking skills -Sound judgment -The ability to communicate in an articulate and sensitive manner with practitioners, healthcare workers, administrators, and client credentialing personnel

Education: High School

Experience: 1-4 years

Qualifications: -High School Diploma -Minimum of 1 year of credentialing experience in a health care setting

Keywords: Spherion, Melbourne , Credentialing Specialist, Other , Rockledge, Florida