Credentialing Specialist

5 hours, 51 minutes ago
Full-time
Mid Level
Operations
Equum Medical

Equum Medical

Equum Medical is an Acute Care Telehealth company that provides remote expertise across various medical subspecialties, connecting telemetry data to telehealth resources for improved patient flow and care. With a focus on supporting higher acuity care,...

Health Care Providers & Services
51-200
Founded 2011
$20M raised

Description

  • Manage credentialing for Equum-contracted providers in compliance with company standards and federal and state laws.
  • Maintain accurate, current electronic physician files in Modio Health.
  • Coordinate credentialing application distribution, receipt, processing, and timely delivery to health system clients.
  • Own end-to-end credentialing for assigned physicians and hospitals, including initial processing, application completion, submission, and follow-up.
  • Prepare for and coordinate credentialing audits.
  • Coordinate and file FPPEs and OPPEs.
  • Serve as the primary credentialing contact for assigned hospital clients and physician employees or contractors.

Requirements

  • 3+ years of experience directly related to credentialing and privileging responsibilities.
  • Knowledge of medical credentialing and privileging procedures, standards, policies, regulations, and legal requirements.
  • Experience with Modio Health or similar credentialing software; ability to become a lead user quickly.
  • Database management and data accuracy skills.
  • Ability to investigate and analyze information and draw conclusions.
  • Excel reporting skills, including PivotTables, VLOOKUP, and basic reporting functions.
  • Knowledge of related accreditation and certification requirements.
  • Strong written, verbal, interpersonal, and cross-functional communication skills.
  • NAMSS Certified Provider Credentialing Specialist (CPCS) certification preferred, or active pursuit of certification.

Benefits

  • Competitive base salary.
  • Medical, dental, and vision insurance.
  • 401(k) plan.
  • Paid time off.
  • Flexible scheduling to support work-life balance.

Interested in this position?

Apply directly on the company website

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