Credentialing Specialist

  • Location
    Phoenix, Arizona
  • Category
    Healthcare
  • Job reference:
    US_EN_7_849078_2735405
  • Job Type
    Direct Hire

Credentialing Specialist

A healthcare client of ours is looking to grow out their Credentialing department in the downtown Phoenix area!  The position as a Credentialing Specialist II will provide support to the Medical staff by ensuring that the personnel are properly training, licensed and certified.  If you have strong organizational skills, the ability to work independently but have the aptitude to communicate effectively then keep reading!

Responsibilities of a Credentialing Specialist:

  • Work closely with team members to communicate status and solutions of the department
  • Identify issues that require additional investigations and evaluations, validate discrepancies and ensure appropriate follow up
  • Manage credentialing inbox by delegating and prioritizing to credentialing team members  
  • Manages coordination of policy, procedures, standards, communication and training across departments
  • Ability to process provider credentialing in all states including but not limited to; AZ, CA, CO, TX, NM
  • Collaborate with team and management to improve credentialing process

Qualifications of a Credentialing Specialist:

  • Bachelor’s degree or equivalent certifications required; CPMSM, CPCS
  • Three plus years working in credentialing
  • Managed care credentialing including Medicare and Medicaid
  • Experience with healthcare data systems

Please apply with your CV to:

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

EEO - EEO Poster Suppl - Affimative Action Policy
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