Credentialing Data Specialist
Ensures company maintains high standards of provider credentialing and compliance by: • Credentialing and re-credentialing process with a 98% accuracy rate. • Ongoing monitoring of licensing boards and sanctions. • Maintaining a current and accurate provider database by performing practitioner credentialing and re-credentialing according to regulatory requirement. , data entry, maintaining the integrity of the credentialing computerized data base and files. • Overseeing primary and delegated credentialing with IPAs & medical groups as assigned. • Managing practitioner database with 98% data accuracy to include updating expired credentials (License, DEA, Liability, Board Certification and Accreditation. Preferred attributes of ideal candidate: • 1 year clerical position with computer literacy. • Working knowledge of credentialing database. • Intermediate working knowledge of Microsoft programs (Word, Excel, etc.). • Credentialing or medical staff office experience preferred. • Vistar credentialing software experience preferred. • Excellent written and oral communication skills. • Ability to interface effectively with internal staff and providers and work independently. • Bilingual (English/Spanish) preferred.