Credentialing Specialist

Company: Aerotek
Location: Austin
Posted on: April 9, 2021

Job Description:

Description:The Credentialing Specialist is responsible for credentialing individual, facility and/or ancillary medical/surgical providers to ensure all credentialing standards and internal requirements are met and maintained.Job Responsibilities: Verifies and maintains all network, individual and/or facility/ancillary providers information. Monitors disciplinary actions, and follows up accordingly. Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups to resolve any issues.Ensures and maintains overall accuracy of credentialing database. Gathers data, builds/runs reports, and sends out updates. Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups, practitioners, office staff, provider network administrators, contracting and management to resolve issues. May review and identify credentialing or re-credentialing practitioners, including verifications of correspondence, data entry, etc., in accordance with company policies and procedures. Reviews and analyzes reports, policies and procedures, summarizes, analyzes and makes notations in reports for feedback to groups and for distribution to management and Credentialing Committee. Assists in the preparation of file reports and binders for monthly Credentialing Committee meetings, including pre-and post-Committee functions. Assists on internal projects to obtain follow-up information as requested by Credentialing Committee or Peer Review Teams. Performs other duties as assigned.Skills:healthcare, medical terminology, credentialing, Microsoft Excel, CAQH, TSCA, NCQATop Skills Details:Credentialing experience preferred. Key terms to look for: CAQH, TSCA, NCQAPrior administrative experienceExperience auditing or certifying filesAdditional Skills & Qualifications:MS ExcelAssociate's degree in Business Administration, Health Care Administration or related field preferredExperience Level:Entry Level About Aerotek:We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Austin , Credentialing Specialist, Other , Austin, Texas