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Credentialing Specialist

at LifeLinc Corporation in Memphis, Tennessee, United States

Job Description

Under general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare provider credentialing. The Credentialing Specialist contacts providers and healthcare facilities to complete the credentialing process and maintain the status logs of applications. The Credentialing Specialist will be responsible for maintaining up to date provider files for all current and new providers according to the established departmental standards.

CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES

May include any and/or all of the following:

+ Complete ALL provider and facility credentialing applications.

+ Strong follow up with all submitted applications.

+ Application and reapplication for provider’s State and DEA licenses. Strong follow up.

+ Maintain all renewal of licenses from our data base by sending out courtesy notifications of expiring licenses.

+ Interact professionally with providers and ancillary staff to provide appropriate and timely responses.

+ Verifications of providers’ credentials using various websites and other forms of communication – state licenses, liability insurance, CDS and/or DEA certificates, education, hospital privileges, board certification, NPDB, OIG, etc.

+ Maintain neat and accurate records utilizing Verity software.

+ Maintain credentialing information by reviewing, entering, and following up on missing information.

+ High school diploma or equivalent required

+ Two years of college experience preferred (emphasis on Business Administration or Healthcare Management) OR five years of credentialing experience minimum, including experience with applying for provider licensure.

Job ID: 2019-1055

External Company Name: LifeLinc Corporation

External Company URL: https://www.lifelincanesthesia.com

Street: 3340 Players Club Parkway

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Job Posting: JC144926035

Posted On: Jul 22, 2019

Updated On: Oct 26, 2021