Credentialing Specialist (MedTech)

Location: United States

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model focused on oncology and related diseases.

What you will do

• Manage credentialing and re-credentialing for physicians and Allied Health Professionals.
• Complete, submit, and track credentialing applications with managed care organizations and hospitals.
• Apply for and validate hospital privileges, obtain malpractice insurance policy information, and notify staff when credentialing is complete for scheduling and billing.
• Maintain quarterly CAQH applications and manage electronic and hard-copy provider credentialing files in Intellisoft.
• Track clinical licenses and continuing education credits, notify providers of deficiencies, and submit audit documentation.
• Contact managed care organizations, hospitals, and SVMIC to remove providers who leave the practice within 30 days of termination.

Requirements

• High school diploma or GED and 2+ years of related experience, or an equivalent combination of education and experience.
• Proficiency with Microsoft Office Suite, including Word and Excel, and web-based applications.
• Ability to maintain confidential verbal and written communications.
• Detail-oriented approach and strong organizational skills.
• Excellent interpersonal, verbal, and written communication skills.
• Ability to prioritize multiple responsibilities, manage a large workload under tight deadlines, work well under pressure, adapt to change, and perform in a productivity-based environment.
• Strong commitment to customer service and internal and external customer satisfaction.
• Research and problem-solving skills.

Culture & Benefits

• Values-driven culture with startup enthusiasm supported by leaders in oncology, urology, technology, and finance.
• Work that supports independent physicians and the patients they serve.
• Full-time employment.