Credentialing Specialist - REMOTE
Status: Full-time, Exempt
Schedule: Mon-Fri
Location: (Remote)
Join us at Little Spurs! (Overview):
Little Spurs Pediatric Urgent Care and Little Spurs Autism Centers is looking to add a Credentialing Specialist to our growing team! The Credentialing Specialist will be responsible for maintaining the credentialing database, all licensures, insurance, board certifications for Little Spurs healthcare providers. The Credentialing Specialist will work under the direction of the Central Business Office Manager to ensure effective operations and compliance with government/state regulations and UCA requirements.
What You Need (Qualifications):
High School diploma or equivalent
Minimum 3 years provider credentialing experience
Ability to meet and confer in a professional manner with Physicians and Physician extenders
Bachelor's degree in health care administration, business management, or related field (preferred)
Knowledge of credentialing software and ability to navigate payor portals
Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.)
Intermediate level of proficiency with Excel, Word, Outlook and Adobe
Delegated credentialing experience (preferred)
Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred)
CPCS or CPMSM (preferred)
The Perks (Benefits):
Medical, Dental & Vision Benefits available employee, spouse, and dependents
Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
401k with 4% company match on 5% employee contribution