Randstad Credentialing Specialist in Tampa, Florida

Credentialing Specialist

job details:

  • location:Tampa, FL

  • salary:$17.50 per hour

  • date posted:Tuesday, January 8, 2019

  • experience:1 Years

  • job type:Contract

  • industry:Health Care and Social Assistance

  • reference:449229

job description

Credentialing Specialist

job summary:

Description:

Credentialing Specialist

JOB SUMMARY

Provider, Facility and Ancillary credentialing to include all aspects of new applicant credentialing, re-credentialing; ongoing maintenance of provider credentials; online verifications; administrative support of credentialing functions.

ESSENTIAL FUNCTIONS

Key Duties and Responsibilities

  • Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.

  • Perform all required primary source verification.

  • Contact hospitals, licensing agencies. malpractice carriers, and medical schools to obtain credentialing verification.

  • Maintain and update credentialing database records.

  • Review malpractice history. regulatory and disciplinary action reports issued by state and federal agencies invoking appropriate processes as defined in policies and procedures.

  • Review the CAQH system and download applications or supplemental documents as appropriate.

  • Maintain electronic provider files.

  • Perform outreach to providers and facilities via phone calls and fax/email correspondence.

  • Demonstrate knowledge of credentialing regulatory and accreditation requirements (NCQA. CMS. Medicaid. etc.).

  • Perform other duties as assigned.

Additional Position Responsibilities

MINIMUM QUALIFICATIONS

  • A High School or GED Required

Work Experience

  • 1+ year of experience in a hospital. provider or managed care setting Required

  • 2+ years of experience in a customer service or healthcare related position Required

Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated written communication skills Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Ability to work as part of a team

  • Ability to effectively present information and respond to questions from peers and management

  • Other Knowledge of credentialing software sufficient to develop appropriate reports on all aspects of credentialing

Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Word

  • Microsoft Excel

  • Microsoft Outlook

location: Tampa, Florida

job type: Contract

work hours: 8 to 5

education: High School

experience: 1 Years

responsibilities:

Description:

Credentialing Specialist

JOB SUMMARY

Provider, Facility and Ancillary credentialing to include all aspects of new applicant credentialing, re-credentialing; ongoing maintenance of provider credentials; online verifications; administrative support of credentialing functions.

ESSENTIAL FUNCTIONS

Key Duties and Responsibilities

  • Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.

  • Perform all required primary source verification.

  • Contact hospitals, licensing agencies. malpractice carriers, and medical schools to obtain credentialing verification.

  • Maintain and update credentialing database records.

  • Review malpractice history. regulatory and disciplinary action reports issued by state and federal agencies invoking appropriate processes as defined in policies and procedures.

  • Review the CAQH system and download applications or supplemental documents as appropriate.

  • Maintain electronic provider files.

  • Perform outreach to providers and facilities via phone calls and fax/email correspondence.

  • Demonstrate knowledge of credentialing regulatory and accreditation requirements (NCQA. CMS. Medicaid. etc.).

  • Perform other duties as assigned.

Additional Position Responsibilities

MINIMUM QUALIFICATIONS

  • A High School or GED Required

Work Experience

  • 1+ year of experience in a hospital. provider or managed care setting Required

  • 2+ years of experience in a customer service or healthcare related position Required

Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated written communication skills Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Ability to work as part of a team

  • Ability to effectively present information and respond to questions from peers and management

  • Other Knowledge of credentialing software sufficient to develop appropriate reports on all aspects of credentialing

Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Word

  • Microsoft Excel

  • Microsoft Outlook

qualifications:

Description:

Credentialing Specialist

JOB SUMMARY

Provider, Facility and Ancillary credentialing to include all aspects of new applicant credentialing, re-credentialing; ongoing maintenance of provider credentials; online verifications; administrative support of credentialing functions.

ESSENTIAL FUNCTIONS

Key Duties and Responsibilities

  • Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.

  • Perform all required primary source verification.

  • Contact hospitals, licensing agencies. malpractice carriers, and medical schools to obtain credentialing verification.

  • Maintain and update credentialing database records.

  • Review malpractice history. regulatory and disciplinary action reports issued by state and federal agencies invoking appropriate processes as defined in policies and procedures.

  • Review the CAQH system and download applications or supplemental documents as appropriate.

  • Maintain electronic provider files.

  • Perform outreach to providers and facilities via phone calls and fax/email correspondence.

  • Demonstrate knowledge of credentialing regulatory and accreditation requirements (NCQA. CMS. Medicaid. etc.).

  • Perform other duties as assigned.

Additional Position Responsibilities

MINIMUM QUALIFICATIONS

  • A High School or GED Required

Work Experience

  • 1+ year of experience in a hospital. provider or managed care setting Required

  • 2+ years of experience in a customer service or healthcare related position Required

Skills ---- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Demonstrated written communication skills Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Ability to work as part of a team

  • Ability to effectively present information and respond to questions from peers and management

  • Other Knowledge of credentialing software sufficient to develop appropriate reports on all aspects of credentialing

Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Word

  • Microsoft Excel

  • Microsoft Outlook

skills: Healthcare Law

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.