Credentialing Specialist

job
  • LUKE
Job Summary
Location
Rockledge ,FL
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
29 Jan 2025
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Job Description
Job Title: Credentialing Specialist

Location: Hybrid/Corporate Office, Rockledge, FL

FLSA: Hourly Non-exempt

Are you ready to play a key role in shaping the healthcare workforce of tomorrow? Luke & Associates Inc. is seeking an enthusiastic and detail-oriented Credentialing Specialist to join our fast-paced and dynamic team. This is a fantastic opportunity for individuals who are passionate about making an impact in the healthcare industry while working in a supportive, collaborative environment.

Why You'll Love This Role:

As a Credentialing Specialist, you’ll be at the heart of ensuring healthcare professionals are qualified and ready to make a difference. You’ll have the chance to engage with cutting-edge credentialing processes, work directly with healthcare practitioners, and make sure everything is in place to support their success. If you enjoy problem-solving, attention to detail, and making a tangible impact, this is the role for you!

Preferred Qualifications:

High School Diploma (Associate's degree preferred)
Minimum of 1 year of credentialing experience in a healthcare setting (experience in practitioner insurance enrollment, medical staff or government contractor healthcare credentialing is a plus)
Familiarity with credentialing processes, policies, and procedures
Experience in a healthcare environment (physician office or hospital) is beneficial, with a willingness to learn credentialing processes
Knowledge of the Joint Commission standards
Exceptional critical thinking, judgment, and communication skills
Proficiency in Microsoft Office, Excel, internet search tools, and research techniques
Experience with PDF software (Adobe, Foxit, or other) is a plus

Core Duties & Responsibilities:

Perform the initial credentialing for healthcare workers, reviewing resumes and qualifications to ensure alignment with job descriptions
Primary source verification of medical licensure, education, employment, DEA status, and NPDB queries (training available for the right candidate)
Initiate background checks and drug screens, reporting any derogatory findings to the manager
Assist applicants with completing necessary DoD forms accurately
Monitor expiring licenses, certifications, and other documents, assisting practitioners with renewals and escalating issues when needed
Track and report the progress of credentialing activities for healthcare workers
Adhere to policies and procedures ensuring timely delivery of completed work
Identify and resolve discrepancies, time gaps, and other issues that may affect the credentialing process
Perform other duties as assigned to support the credentialing team

Special Requirements & Skills:

Ability to manage multiple tasks and reprioritize on short notice
Strong teamwork, time management, and adaptability skills
Ability to meet deadlines in a fast-paced, deadline-driven environment
Flexibility and comfort in working with a variety of personalities and adapting to changing environments
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Job Type: Full-time
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