Senior Credentialing Specialist
new ultimate billing
📍 oklahoma united states united states🕐 1mo ago🔗 workday
Job Description
**Daily tasks and responsibilities include, but not limited to:**
* Accurately complete payer enrollment and facility appointment applications for providers.
* Provides support and assistance for new practice setup as needed.
* Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion.
* Maintains accurate and current information in the provider records which includes credentialing software database and in provider electronic folders.
* Maintains credential files in an orderly and current manner.
* Provides research and administrative support for special projects.
* Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities.
* Other duties may be assigned from time to time.
_Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position._
**Qualifications and Requirements**
* Preferably a college graduate or at least two years of college completed.
* Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental and commercial payers) for facility-based providers.
* Minimum 1 year of experience in a healthcare revenue cycle setting.
* Familiarity with credentialing software (e.g., CAQH, CredentialStream).
* Strong written and verbal communication skills.
* Strong critical thinking skills.
* Excellent attention to detail.
* Client-service oriented.
* Highly effective team collaboration, accountable, and able to work with minimal supervision.
* Proficient in email management and Microsoft Word and Excel applications.
* Highly motivated self-starter.
* Organized, able to set priorities, and meet deadlines.
* Team player who supports department and company goals and policies.
* Degrees or coursework related to the medical field are a plus.