Credentialing Specialist Job at INcompass Healthcare, Lawrenceburg, IN

NnNYSWlKR2VOcnFVWjVaNGgyWFJoRGhlTmc9PQ==
  • INcompass Healthcare
  • Lawrenceburg, IN

Job Description

POSITION SUMMARY

The Credentialing Specialist is responsible for overseeing and managing the credentialing and recredentialing process for healthcare providers, ensuring compliance with state, federal, and accreditation standards. This role involves verifying professional licenses, managing documentation, training, and collaboration to ensure healthcare professionals are qualified to provide client care.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The essential functions include, but are not limited to the following: Maintain accurate and up-to-date credentialing files for all healthcare providers. Organize and track renewal dates for licenses and certifications to ensure timely updates. Ensure adherence to federal, state, and local regulations as well as organizational policies. Prepare for and participate in audits related to credentialing processes. Input and manage provider information in credentialing software and databases. Generate reports on provider credentials and compliance status as needed. Act as a liaison between healthcare providers, management, and regulatory bodies. Respond to inquiries related to credentialing processes and documentation requirements. Stay updated on industry best practices and changes in regulations affecting credentialing. Recommend process improvements to enhance efficiency and compliance in credentialing practices, creating SOPs and providing training where needed. Performs other duties as assigned. MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) Required: High School diploma or GED. Preferred: Bachelor's degree in healthcare administration, human resources, or a related field. Preferred: One year's experience in credentialing within a healthcare setting. Strong understanding of insurance plans. Excellent communication and interpersonal skills. Proficiency in Microsoft Office Suite Ability to work effectively in a fast-paced healthcare environment. Experience with EHR systems and insurance verification platforms. Attention to detail Strong problem-solving abilities Our Benefits Medical, Dental, and Vision Insurance Prescription Coverage Company Paid Life , AD&D and Disability Insurance Company match up to 4.5% for 401k. Generous PTO Plan, no wait period Tuition Reimbursement Unlimited employee referrals Paid holidays INcompass Healthcare

Job Tags

Holiday work, Local area,

Similar Jobs

Wharton County Junior College

Instructor of Music / Band Director Job at Wharton County Junior College

Salary: $48,550.00 - $60,050.00 Annually Location : Wharton, TX Job Type: Faculty Full Time Job Number: 2410 F 044 Department: Academic Instruction's Area Division: Communications & Fine Arts Opening Date: 10/28/2024 Closing Date: 1/20/2025 1...

Cibola General Hospital

Informatics Training Specialist Job at Cibola General Hospital

 ...This position will function in a variety of roles ranging from trainer to consultant in providing assistance to system users. Additionally...  ...to prioritize and coordinate multiple projects. # Ability to travel to all geographically separated locations. # Ability to view... 

Jobot

Mortgage Loan Closer Job at Jobot

We are a top 5 builder offering competitive comp, home purchase discount, great benefits, stock options and more! This Jobot Job is hosted by: Brendan Thomas Are you a fit? Easy Apply now by clicking the "Apply" buttonand sending us your resume. Salary: $50,00...

Spanish For Entities

Spanish Interpreter Job at Spanish For Entities

 ...Company Description Spanish For Entities is a language institute located in Greater Indianapolis. We specialize in providing in-...  ...engagement. In addition to language courses, we also offer conference interpreting and written translation services. Role Description... 

Sentara Healthcare

Registered Nurse Operating Room (CVOR) System-Wide Assignment Pool *Top Pay with Benefits* Job at Sentara Healthcare

 ...Traveler: Expansive Benefit Package, Flexible Full-time Hours, Premium Pay, and Differentials Full-Time Permanent position~ Benefits ~...  ...Room experience Check out this video from Sandricka about nursing roles in the System-Wide Assignment Pool: Sandricka Blount-...