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Credentialing Specialist in Franklin Township, NJ at William Demant Group

Date Posted: 6/14/2018

Job Snapshot

Job Description

Responsible for all aspects of the credentialing, re-credentialing and contract enrolling for all providers. Responsible for ensuring providers are credentialed, appointed, and enrolled with health plans and managed care plans. Maintain up-to-date data for each provider in credentialing databases; ensure timely renewal of licenses and certifications. 

Responsibilities

Compiles and maintains current and accurate data for all providers

  • Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
  • Maintains corporate provider contract files
  • Maintains knowledge of current health plan and agency requirements for credentialing providers
  • Tracks license and certification expirations for all providers to ensure timely renewals

Ensures practice addresses are current with health plans, agencies and other entities

Qualifications

High school diploma or GED

  • Minimum 1-2 years credentialing experience in a medical hospital or audiology practice required
  • Proficient with Windows, MS Office, Outlook and Internet Explorer
  • Excellent time management and organizational skills
  • Excellent written and verbal communication skills
  • Highly self-motivated, proactive, and results driven
  • Works cooperatively in a team atmosphere

  • Preferred Qualifications
    • Certified Provider Credentialing Specialist (CPCS) preferredM/F/D/V

We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status

*AUD