Credentialing Specialist / Lead | OKC, OK
Pay: $20-$24/HR, DOE
***5+ Years of Credentialing Experience Required***
Hours: Full-Time, M-F 8a-5p
POSITION SUMMARY- The credentialing specialist will verify the credentials of health care providers in accordance with state and federal standards. This involves verifying the legitimacy of practitioner information with universities, licensing agencies, and certification groups. The credentialing specialist will process enrollment, credentialing and re-credentialing paperwork as required by health plans and government programs. The credentialing specialist should be detail orientated and capable of maintaining a database with up-to-date provider information.
The credentialing specialist should have strong oral and written communication skills. They will communicate regularly with health plans via email and phone to ensure the credentialing status of providers is on track. The credentialing specialist will act as a liaison and communicate directly with providers when additional information or documentation is required for their credentialing.
ESSENTIAL FUNCTIONS
· Verify the legitimacy of practitioner information with universities, licensing agencies, and certification groups
· Complete credentialing and re-credentialing applications for government payers, commercial payers and medical staff offices
· Follow lengthy credentialing processes until effective dates are assigned
· Track and assist with license renewals
· Update and pull reports from credentialing database
· Other tasks to support the credentialing team
QUALIFICATIONS
· Bachelor degree or minimum four years of healthcare experience
· Ability to work in a fast paced environment
· Excellent professional communication skills, both written and verbal
· Ability to work independently, set priorities and meet deadlines
#LM
TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER
See the great things people are saying by checking out our Google reviews, along with our Facebook, LinkedIn, Instagram, X/Twitter. Please visit the Career Center on our website for some helpful resources to help in your job search, to build a resume, for interview tips and many job opportunities!
HS Diploma or Equivalent; Bachelor Degree preferred
4-5 Years of Medical Insurance & Provider Credentialing
* Recruit, screen, interview, or place individuals within an organization. May perform other activities in multiple human resources areas....Lakeland Community College is seeking a Bookstore Manager to manage and supervise the college's bookstore operations in a manner consistent with the established mission of the College and Bookstore. The bookstore manager will evaluate, determine and direct the strategic...
...Job Description This position exists to serve as the Lead Cashier at the campus bookstore. The Customer Service Specialist is responsible for delivering exceptional customer service to students, staff, and visitors, efficiently processing transactions, and ensuring...
...the Assessor-County Clerk-Recorder and Chief Elections Officer is seeking well-qualified candidates for the position ofPrincipal Appraiser. Principal Appraisers must have thorough knowledge of Property Tax and the Revenue and Taxation Code as it relates to Real Property...
...Exciting opportunity for an Orthopedic Surgeon specializing in Hand Surgery with Columbia Universitys Department of Orthopedic Surgery at our affiliate, Brooklyn Methodist Hospital. Candidate(s) must be board-certified/eligible in Orthopedic Surgery. This is an assistant...
...Child and Family Focus Internship Are youlooking to explore a career in the public health field? Child and Family Focus may be the right fit for you! Internship Overview: Child and Family Focus is looking for interns for Spring 2025! We provide a robust internship...