LifeLinc Corporation

Credentialing Specialist

Job Locations US-TN-Memphis
Job ID
2019-1055
Category
Billing
Type
Regular Full-Time

Overview

Under general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare provider credentialing. The Credentialing Specialist contacts providers and healthcare facilities to complete the credentialing process and maintain the status logs of applications. The Credentialing Specialist will be responsible for maintaining up to date provider files for all current and new providers according to the established departmental standards.

Responsibilities

CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES
May include any and/or all of the following:

  • Complete ALL provider and facility credentialing applications.
  • Strong follow up with all submitted applications.
  • Application and reapplication for provider’s State and DEA licenses. Strong follow up.
  • Maintain all renewal of licenses from our data base by sending out courtesy notifications of expiring licenses.
  • Interact professionally with providers and ancillary staff to provide appropriate and timely responses.
  • Verifications of providers' credentials using various websites and other forms of communication - state licenses, liability insurance, CDS and/or DEA certificates, education, hospital privileges, board certification, NPDB, OIG, etc.
  • Maintain neat and accurate records utilizing Verity software.
  • Maintain credentialing information by reviewing, entering, and following up on missing information.

Qualifications

  • High school diploma or equivalent required
  • Two years of college experience preferred (emphasis on Business Administration or Healthcare Management) OR five years of credentialing experience minimum, including experience with applying for provider licensure.

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