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2 дня назад

Credentialing Specialist (Healthcare)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Credentialing Specialist (Healthcare): Managing credentialing, re-credentialing, privileging, and provider documentation for physicians and allied health professionals with an accent on application verification, licensing, and confidential records. Focus on maintaining CAQH data, tracking continuing education and clinical licenses, and coordinating provider status updates with managed care organizations and hospitals.

Location: Remote in the United States; travel flexibility as needed

Company

hirify.global supports community oncology practices through a patient-centric, physician-driven, and technology-powered healthcare model.

What you will do

  • Manage credentialing and re-credentialing for physicians and allied health professionals.
  • Complete, submit, and track applications with managed care organizations and hospitals.
  • Apply and validate hospital privileges and obtain malpractice insurance documentation.
  • Maintain provider files, credentialing databases, and quarterly CAQH applications.
  • Track clinical licenses and continuing education credits, notify providers of deficiencies, and submit audit documentation.
  • Coordinate provider additions and terminations with managed care organizations, hospitals, and EMR systems.

Requirements

  • High school diploma and 2+ years of related experience.
  • Experience leading credentialing activities in a large provider practice or across multiple practices.
  • Proficiency with Microsoft Office Suite and web-based applications.
  • Strong organizational, research, problem-solving, verbal, and written communication skills.
  • Ability to handle confidential information, manage multiple priorities, and meet tight deadlines.

Nice to have

  • Bachelor’s degree.
  • Training experience.
  • Professional certifications.

Culture & Benefits

  • Full-time remote work in the United States.
  • Travel flexibility as needed.
  • Values-driven environment focused on improving support for independent physicians and patients.
  • Technology-powered work supporting oncology, urology, and healthcare operations.

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