```Duties```
- Review and process credentialing applications for healthcare providers
- Verify the accuracy and completeness of application materials
- Conduct primary source verification of credentials, licenses, and certifications
- Maintain accurate and up-to-date provider credentialing files
- Communicate with providers and external organizations to obtain missing or additional information
- Ensure compliance with all regulatory and accreditation standards related to provider credentialing
- Assist in the development and implementation of credentialing policies and procedures
- Collaborate with internal teams to ensure timely completion of credentialing processes
- Work on obtaining authorizations for scheduled appointments
- Billing out claims, working denial tasks, problem solving denials and appealing as needed.
```Experience```
- Minimum of 2 years of experience in medical office or managed care setting
- Strong knowledge of medical terminology and healthcare industry standards
- Familiarity with credentialing processes and requirements
- Proficiency in using credentialing software or databases
- Excellent attention to detail and ability to maintain accurate records
- Strong organizational and time management skills
- Effective communication skills, both written and verbal
Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned.
Job Type: Full-time
Pay: From $17.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- AD&D insurance
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Credentialing: 1 year (Required)
Shift availability:
Ability to Commute:
- Fort Myers, FL (Preferred)
Ability to Relocate:
- Fort Myers, FL: Relocate before starting work (Required)
Work Location: In person