What are the responsibilities and job description for the Medical Credentialing Specialist position at PRACTICE MANAGEMENT GROUP LLC?
Job Title: Credentialing Specialist
Location: South Jordan, UT – Hybrid, mostly remote
Company: Practice Management Group
About Us: At PMG, we pride ourselves on strong core values and providing outstanding customer service and we're looking for a detail-oriented Credentialing Specialist to join our dynamic team. The ideal candidate will be able to work on multiple projects simultaneously and be able to work under pressure. If you're passionate about ensuring high standards in credentialing and compliance, we want to hear from you!
Position Overview: The Credentialing Specialist will be responsible for managing and overseeing the credentialing process for healthcare providers and organizations. This role is crucial in ensuring that all providers meet the necessary qualifications and comply with regulatory standards. You will work closely with various stakeholders to facilitate accurate and timely credentialing processes.
Key Responsibilities:
- Verify and validate provider credentials, including education, training, and licensure.
- Maintain and update provider databases and credentialing records.
- Coordinate with healthcare providers, insurance companies, and regulatory agencies to collect and verify required documentation.
- Ensure compliance with federal, state, and organizational standards and regulations.
- Assist in the preparation and submission of credentialing applications to payers and accrediting bodies.
- Review and resolve any discrepancies or issues related to provider credentials.
- Stay updated on changes in healthcare regulations and credentialing requirements.
Qualifications:
- 1 years of experience in credentialing.
- Strong knowledge of credentialing processes and regulatory requirements.
- Excellent organizational skills and attention to detail.
- Effective communication and interpersonal skills.
- Proficiency in Microsoft Office Suite and credentialing software (e.g., CAQH).
What We Offer:
- Competitive salary.
- Opportunities for professional growth and development.
- Collaborative and supportive work environment.
- Flexible work arrangements.
Ability to Commute: South Jordan, UT 84095 (Required)
Work Location: Hybrid remote in South Jordan, UT 84095
Job Types: Full-time, Contract
Expected hours: 30 – 40 per week
Schedule: Monday to Friday
Experience: Microsoft Office: 1 year (Preferred) Credentialing: 1 year (Required)
Ability to Commute: South Jordan, UT 84095 (Required)
Work Location: Hybrid remote in South Jordan, UT 84095