Credentialing Specialist – Union Office

Website NJRetina

NJ Retina is currently seeking an enthusiastic Credentialing Specialist.

Role Purpose

The Credentialing Specialist will be responsible for all aspects of credentialing activities to ensure effective operations, compliance with government/state regulations, and that all providers are appropriately credentialed.  This position requires professionalism, collaboration, and excellent decision-making skills.

Responsibilities

  • Compiles and maintains current and accurate data for all providers. Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed.
  • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
  • Maintains corporate provider contract files.
  • Preserves knowledge of current health plan and agency requirements for credentialing providers.
  • Tracks license and certification expiration for all providers to ensure timely renewals.
  • Ensures practice addresses are current with health plans, agencies and other entities.

EducationBachelor’s degree in in Public Health, Health Informatics or related filed related

Experience: 3-5 years of experience in healthcare compliance, credentialing and regulatory field

  • Knowledge of HIPAA, HITECH and other rules and regulations in the healthcare industry
  • Relies on experience and judgement to plan and accomplish goals
  • Excellent verbal and written communication skills
  • Ability to work autonomously and collaborate with all levels of management
  • Preferred CHC or CHPC qualified
  • Healthcare billing and coding experience helpful

 

NJRetina is an Equal Opportunity Employer
EEO

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To apply for this job email your details to jobs@njretina.com

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