Credentialing Navigator

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Ascension Executive Recruitment

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

Recruitment • Human Resources • Executive Search

Ascension Executive Recruitment is a specialist brand placing senior candidates across a range of industries. The company focuses on recruiting for roles such as C-Suite, Director, Head of Function, and Senior Management positions. With a global reach in the Irish and international markets, Ascension has experience in handling confidential campaigns and matching clients with suitable candidates. Their thorough screening and interview process ensures that only qualified candidates are presented to clients, emphasizing quality, transparency, and commitment to equal opportunity.

📋 Description

• Managing provider credentialing & re-credentialing, ensuring efficient operations and maintaining current staff data • Ensures healthcare professionals and services meet federal, state, and NCQA standards; verifies professional licensing, training, and certifications • Prepares and maintains reports of credentialing activities • Coordinates medical staff appointments, processes applications/licensing, and manages the provider credentialing process, facilitating communication across departments and administration • Ensures compliance with accreditation and legal requirements for medical staff • Contacts medical offices, licensing agencies, and insurance carriers to complete credentialing and re-credentialing • Tracks and reports credentialing performance measures

🎯 Requirements

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required • Required professional licensure/certification can be used in lieu of education or experience, if applicable • Experienced in credentialing software (preferably MD Staff) • Ability to use Excel proficiently • Strong skill-sets to focus on details of data and enter accurately • Majority of day is utilizing software and inputting data • Must be able to focus on customer service when talking to credentialed practitioners on phone • 3+ years of experience

🏖️ Benefits

• Paid time off (PTO) • Various health insurance options & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement • Ways to give back to your community