Credentialing Specialist

Location: Nashville Region
Category: Healthcare
Employment Type: Contract To Hire
Contact: hccadnashville@addisongroup.com

Credentialing Specialist

Nashville, TN

Job Responsibilities

  • Medical Credentialer is responsible for all credentialing and recredentialing processes for medical providers in medical group or hospital setting
  • Ensure providers' information is up-to-date in database and online systems and that providers are credentialed with specific health plans, hospitals and other patient care facilities and that all federal and state guidelines are met
  • Medical Credentialer must maintain current copies of all provider documentation including: state licenses, malpractice coverage, certifications, etc.
  • Process provider and medical staff applications and reappointment paperwork
  • Medical Credentialer is responsible for tracking expiration dates of provider licenses and certifications
  • Audit system for accurate and up-to-date provider information

Requirements

  • Medical Credentialer must have 1+ years of healthcare credentialing experience
  • Knowledge and understanding of credentialing and recredentialing process
  • Medical Credentialer must have the ability to maintain professional relationships with providers and outside organizations
  • Medical Credentialer must possess a strong proficiency with Microsoft Office Suite (Word/Excel/Outlook/Power Point)
  • Medical Credentialer must possess the ability to type 40+WPM required (alphanumeric & 10-key typing)
  • Medical Credentialer must be a Certified Provider Credentialing Specialist (CPCS) highly preferred
  • Associates Degree preferred

Why Choose Addison Group?

A leading provider of professional staffing and search services, Addison Group distinguishes itself through exceptional delivery, specialized knowledge and strong relationships. Addison enables ideal connections between talented professionals and dynamic businesses. National practice areas include Administrative & HR; Engineering; Finance & Accounting Contract; Finance & Accounting Executive Search; Financial Services; Healthcare and Information Technology. Addison is an Inavero's 2012 Best of Staffing winner for both Client and Candidate service. www.addisongroup.com

Keywords: Healthcare, Medical, Credentialing, Credentialing Specialist, medical credentailer, professional licensing, recredentialing, Health Information Management, Hospital, Physician, Clinic, Patient, Payment, Healthcare Revenue Cycle, Claims, Medicare, Medicaid, commercial, HIPAA, Electronic Medical Record, EMR, EPIC, Cerner, Medisoft, Meditech, IDX, Point Click Care, Allegra, McKesson, AS400, Nextgen, Allscripts, eClinical Works, Mysis, Tiger, Centricity, Citrix, Athena, eCare, NEBO, Sorian


Meet Some of Addison Group's Employees

Alli W.

Business Development Manager, Addison Group Healthcare

Alli works within Addison’s Healthcare Department, seeking to build relationships with new clients while successfully maintaining existing relationships with hospital systems, physician practices, and other companies.

Jason D.

Branch Manager, Finance and Accounting Contract Division

Jason oversees a group of business development managers and recruiters, seeking to grow and maintain client and candidate relationships while fostering ongoing trust and collaboration.


Back to top