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Credentialing Data Specialist

PMG Credentialing, Inc. -
Remote

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Job Details

Full-time
$17 - $19 an hour
6 days ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Medical office experience
Provider enrollment for medical credentialing
Administrative experience
High school diploma or GED
Medical administrative support
Healthcare administration
Attention to detail
Typing

Full Job Description

The Credentialing Data Specialist is a member of the quickly growing PMG Credentialing Team and will be responsible for compiling and maintaining accurate data. This person needs to be well organized, able to multi-task, meet deadlines and interface professionally with PMG staff. The ideal candidate would be an analytical thinker, pays attention to detail and possesses a positive attitude.

Essential Duties & Responsibilities:

· Compiling, analyzing, and maintaining current and accurate data for all providers in the PMG credentialing database.

· Adhering to detailed instructions regarding the maintenance procedures for provider data and entering this information into the credentialing database and appropriate payer portals.

· Verify and document expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards.

· Securely manage information as the single source of truth by effectively navigating database software and maintaining data integrity

· Provide demographic updates and/or attestations to insurance payers

· Communicate and follow-up consistently with providers to obtain necessary information

· Maintaining confidentiality with regards to any disciplinary actions, malpractice suits, and personal information.

· Assisting the Team with additional administrative tasks, as assigned.

Summary of Qualifications:

· High School Diploma or GED required.

· Experience working in an administrative capacity in a medical office/healthcare administrative setting preferred.

· Experience with CredentialStream, and CAQH strongly preferred.

· Successful experience demonstrating the use of interpersonal skills necessary to communicate and gather info from all levels of personnel.

· Proven ability to organize, prioritize and complete work, in a timely manner, according to pre-established guidelines.

· Must be reliable and possess extreme attention to detail and documentation.

· Must be able to work independently and as a contributive member of the Credentialing Team.

Physical Requirements:

Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

provider enrollment/credentialing: 1 year (Required)

Work Location: Remote

Quick Apply

Refine Your Search

Database Specialist I jobs

Credentialing Data Specialist

HRIS Specialist I

Data Entry Specialist

Research Specialist I

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Research Specialist I

Verifications Specialist

Cost Avoidance Specialist I

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I want to receive the latest job alert for Database Specialist I

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