Credentialing Specialist
EasyHealth
Date: 10 hours ago
City: Cebu City
Contract type: Full time
Job Summary
The NP Credentialing Coordinator is responsible for providing administrative and operational support in credentialing and re-credentialing Nurse Practitioners (NPs) to ensure compliance with regulatory requirements and practice guidelines.
Key Responsibilities
Education:
The NP Credentialing Coordinator is responsible for providing administrative and operational support in credentialing and re-credentialing Nurse Practitioners (NPs) to ensure compliance with regulatory requirements and practice guidelines.
Key Responsibilities
- Credentialing Coordination:
- Assist in gathering, reviewing, and verifying credential documentation, such as licenses, certifications, and insurance.
- Maintain up-to-date provider information in the credentialing database.
- Track credentialing status and follow up with Credentialing Committee to ensure timely approvals.
- Documentation and Compliance:
- Ensure all credentialing files are compliant with federal, state, and organizational regulations as directed.
- Monitor the expiration dates of licenses, certifications, and other required documentation, sending timely reminders for renewals.
- Prepare and submit re-credentialing applications as needed.
- Data Management and Reporting:
- Maintain accurate, organized, and confidential credentialing files.
- Generate reports on credentialing activities, status, and compliance metrics.
- Continuously update internal databases to reflect current provider status.
- Provider Onboarding Support:
- Support the onboarding process by ensuring credentialing steps are completed before start dates.
- Relationship Management:
- Build and maintain positive relationships with Nurse Practitioners, payers, and credentialing bodies.
- Coordinate with internal departments such as Human Resources, Compliance, and Legal to streamline credentialing processes.
Education:
- High school diploma or equivalent required; an associate degree or relevant certification in healthcare administration, business, or a related field is preferred.
- 1-2 years of experience in a credentialing, compliance, or healthcare administration role.
- Familiarity with practice credentialing requirements and healthcare regulations is a plus.
- Strong organizational skills and attention to detail.
- Excellent written and verbal communication skills.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with credentialing software or databases.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
- Customer service-oriented approach with a focus on building professional relationships.
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Remote Freelance Customer Service Representative in the Philippines - $3-$4 per hour - WEEKLY PAY
Omni Interactions,
Cebu City
11 hours ago
Job OverviewJoin Omni as a Freelance Customer Service Representative and experience the flexibility of remote work. In this role, you will collaborate with prestigious Fortune 500 companies, allowing you to manage your own schedule while providing exceptional customer support.Key ResponsibilitiesDeliver outstanding customer service to high-profile clients.Manage your own work hours to meet client requirements, with the potential to work up...
ATM Technician - Coopnet Teller Machine
TraXion Tech Inc.,
Cebu City
2 days ago
Support CTM Operation & Support related activities - Experience in maintaining, repairing, and servicing ATMs, with a strong emphasis on onsite field and support activities nationwide. As a CTM Technician, you will be responsible for ensuring the functionality and security of our CTM network across various locations. This position requires strong technical skills, attention to detail, and the ability to...
Director of Events Management
Shangri-La Group,
Cebu City
1 week ago
Shangri-La Mactan, CebuNestled amidst 13 hectares of lush greenery, landscaped gardens and with a 350-meter white-sand beach, Shangri-La Mactan, Cebu is a multi-faceted leisure destination that provides a compelling mix of luxury relaxation and wellness, lively entertainment, and exciting recreational activities. Guests can savour beach-side luxe within its spacious rooms and suites, along with enticing wining and dining options.The well-loved...
