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Credentialing Specialist
This is a remote position.
Company Overview:
My Cloud Crew Inc is a dynamic and innovative company specializing in virtual services dedicated to providing highquality administrative support financial services and marketing solutions to small and mediumsized businesses across the USA. Our team is composed of skilled virtual assistants bookkeepers administrative professionals CFOs and marketers all operating remotely from the Philippines. We are committed to helping our clients streamline their operations and achieve substantial business growth through our comprehensive and customizable service offerings.
- Verify credentials licenses and certifications of healthcare professionals to ensure compliance with legal and organizational standards.
- Maintain accurate and uptodate credentialing records ensuring information integrity and accessibility for audits and reviews.
- Facilitate credentialing processes for new hires including application submission verification and approval timelines.
- Collaborate with healthcare providers and external organizations to gather necessary documentation and resolve credentialing issues promptly.
- Monitor and track expirations of credentials to ensure timely renewal and compliance with regulatory requirements.
- Conduct regular audits of credentialing files and processes to identify and address discrepancies or areas for improvement.
- Stay updated on industry regulations and best practices to ensure adherence to evolving standards and requirements.
Requirements
- at least 2 years of relevant experience in the same role.
- Strong knowledge of health insurance policies procedures and regulations.
- Proficiency in medical billing software and electronic health records (EHR) systems.
- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills.
- Ability to maintain confidentiality and handle sensitive information.
at least 2 years of relevant experience in the same role. Strong knowledge of health insurance policies, procedures, and regulations. Proficiency in medical billing software and electronic health records (EHR) systems. Excellent attention to detail and organizational skills. Strong communication and interpersonal skills. Ability to maintain confidentiality and handle sensitive information.
- Strong knowledge of health insurance policies procedures and regulations.
- Maintain accurate and uptodate credentialing records ensuring information integrity and accessibility for audits and reviews.
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