Credentialing Specialist - FT - Portage County, Ohio

Duties include, but not limited to:

·  Works in collaboration with manager to communicate any incomplete information impacting staff start date

·  Serves as quality control expert to ensure all paperwork is completed accurately and thoroughly to ensure timely staff credentialing

·  Works with staff to complete every 90 day CAQH re-attestation timely

·  Completes all individual payer enrollments and communicates with staff and manager on follow up needed, issues or recertification's

·  Follows up and monitors staff changes in credentials due to changes in licensure

·  Manages and updates payer panels in Qualifacts

·  Produces monthly reports and communicates to manager and respective business unit on staff status

·  Works in collaboration with billing department to ensure staff credentialing issues impacting billings are identified and resolved

Qualified candidates will have a high school diploma or equivalent and proficient in MS Word and Excel. In addition, this person needs to be a self-starter; able to work independently; able to manage multiple priorities; excellent attention to detail; and able to establish and maintain effective working relationships with providers, management, staff, and external contacts. Preferred candidates will have Certified Professional Credential Specialist (CPCS) along with 2 years' experience with the credentialing process and health care industry.

Benefits options include health, life, pension, paid time off, and more.  Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.  E.O.E. Persons with a disability can request an accommodation to complete the application process by emailing with the subject line “Accommodation Request.”