Delegated Credentialing Specialist, Temp

Requirements

• Qualifications Proficient using payor websites including but not limited to CAQH, Pecos, NPI/NPPES, Availity, NaviNet, CMS I&A Proficiency ins using various software used for provider applications, verifying credentials and tracking verification statuses Proficient with payor enrollment process for all levels of licensure including but not limited to MD/DO, NP, PhD, PT, OT, LCSW, OD, DDS, DPM, etc.
• across all specialties including medical, dental, vision, behavioral health and physical health Knowledge of primary source verification--understand the process of verifying information directly from the original/authorized source that meets relevant regulations, accreditation
• requirements Able to communicate clearly and concisely, both verbally and in written correspondence Able to work well under tight deadlines and respond to rapidly changing demands and provide efficient follow up Detail oriented with ability to recognize vital information from credentialing documents Demonstrate problem-solving, critical thinking, and deductive reasoning skills Ability to consistently maintain quality and production expectations Ability to learn and use credentialing database and other
• Experience Associate’s degree; or, an equivalent combination of education and/or experience Minimum of 3 years’

Benefits

• Responsibilities Initiate and support the practitioner application process by sending, receiving, and analyzing practitioner documents and data import to determine completeness in preparation for payor enrollment and credentials verification process Responsible for accurate data entry to ensure the integrity of credentialing information in applicable database(s) Enroll providers with client payors to include Medicare, Medicaid and state and federal commercial health plans and follow up as required until
• experience in provider credentialing in a healthcare setting Certified Provider Credentialing Specialist (CPCS) preferred Provider Enrollment Specialist Certificate (PESC) preferred We believe in fair compensation for all of our people, which is why our pay structure takes into account the cost of labor across U.S. geographic markets.
• For this position, we offer a pay of $25.00/hour. #LI-MJ1 In return, we offer: Competitive pay
• CHG Healthcare values a diverse and inclusive workforce.

Additional details