Credentialing & Privileging Specialist Job at Genie Healthcare, Rapid City, SD

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  • Genie Healthcare
  • Rapid City, SD

Job Description

*Job Summary* The Credentialing Specialist plays a crucial role in ensuring that healthcare providers meet the necessary qualifications and standards to deliver quality care. This position involves verifying credentials, maintaining compliance with regulatory requirements, and supporting the credentialing process for medical professionals within our organization. The ideal candidate will possess a strong understanding of medical terminology and managed care practices, as well as experience in a medical office setting.

  • _*Required*_ to have 1+ years in Healthcare; 1+ years Administrative Experience
  • _*Preferred*_ to have 3+ years in Healthcare; 3+ years Administrative Experience
  • Responsibilities*
  • Conduct thorough verification of healthcare providers' credentials, including education, training, licensure, and certifications.
  • Maintain accurate and up-to-date records in the credentialing database.
  • Ensure compliance with all relevant standards and regulations related to credentialing processes.
  • Collaborate with medical staff and administrative teams to facilitate the timely processing of applications.
  • Prepare and present reports on credentialing activities to management as needed.
  • Respond to inquiries regarding credentialing status from providers and internal stakeholders.
  • Stay informed about changes in regulations and best practices within the healthcare industry.
  • Qualifications*
  • Proficiency in medical terminology and understanding of healthcare standards.
  • Experience working in managed care environments is preferred.
  • Previous experience in a medical office or similar setting is highly desirable.
  • Strong attention to detail and organizational skills.
  • Excellent communication skills, both written and verbal.
  • Ability to work independently as well as part of a team.
  • Familiarity with credentialing software systems is a plus.
This position offers an opportunity to contribute significantly to the quality of care provided by our organization while ensuring compliance with industry standards. If you are detail-oriented, organized, and passionate about supporting healthcare professionals, we encourage you to apply for this vital role. Job Type: Contract Pay: $1,600.00 per hour Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
Schedule: * 8 hour shift Experience:
  • Microsoft Office: 1 year (Preferred)
  • Microsoft Word: 1 year (Preferred)
Ability to Commute: * Rapid City, SD 57709 (Required) Ability to Relocate: * Rapid City, SD 57709: Relocate before starting work (Required) Work Location: In person

Job Tags

Hourly pay, Contract work, Relocation, Shift work,

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