Medical Credentialing Specialist Job at PRACTICE MANAGEMENT GROUP LLC, South Jordan, UT

T1ArbkRqMWNFOGgwNXN1ZzVJTGNaZkdlNkE9PQ==
  • PRACTICE MANAGEMENT GROUP LLC
  • South Jordan, UT

Job Description

Job Title: Credentialing Specialist

Location: South Jordan, UT – Hybrid, mostly remote

Company: Practice Management Group

About Us: At PMG, we pride ourselves on strong core values and providing outstanding customer service and we're looking for a detail-oriented Credentialing Specialist to join our dynamic team. The ideal candidate will be able to work on multiple projects simultaneously and be able to work under pressure. If you're passionate about ensuring high standards in credentialing and compliance, we want to hear from you!

Position Overview: The Credentialing Specialist will be responsible for managing and overseeing the credentialing process for healthcare providers and organizations. This role is crucial in ensuring that all providers meet the necessary qualifications and comply with regulatory standards. You will work closely with various stakeholders to facilitate accurate and timely credentialing processes.

Key Responsibilities:

  • Verify and validate provider credentials, including education, training, and licensure.
  • Maintain and update provider databases and credentialing records.
  • Coordinate with healthcare providers, insurance companies, and regulatory agencies to collect and verify required documentation.
  • Ensure compliance with federal, state, and organizational standards and regulations.
  • Assist in the preparation and submission of credentialing applications to payers and accrediting bodies.
  • Review and resolve any discrepancies or issues related to provider credentials.
  • Stay updated on changes in healthcare regulations and credentialing requirements.

Qualifications:

  • 1+ years of experience in credentialing.
  • Strong knowledge of credentialing processes and regulatory requirements.
  • Excellent organizational skills and attention to detail.
  • Effective communication and interpersonal skills.
  • Proficiency in Microsoft Office Suite and credentialing software (e.g., CAQH).

What We Offer:

  • Competitive salary.
  • Opportunities for professional growth and development.
  • Collaborative and supportive work environment.
  • Flexible work arrangements.

Ability to Commute: South Jordan, UT 84095 (Required)

Work Location: Hybrid remote in South Jordan, UT 84095

Job Types: Full-time, Contract

Expected hours: 30 – 40 per week

Schedule: Monday to Friday

Experience: Microsoft Office: 1 year (Preferred) Credentialing: 1 year (Required)

Ability to Commute: South Jordan, UT 84095 (Required)

Work Location: Hybrid remote in South Jordan, UT 84095

Job Tags

Full time, Contract work, Remote job, Flexible hours, Monday to Friday,

Similar Jobs

Arkansas Children's

Clinical Promoter I- Bilingual Preferred Job at Arkansas Children's

 ...Time Type:**Full time**Department:**CC038351 ACRI ACNC General Salary**Summary:**This position's primary responsibility is to promote ACNC Clinical Research in the community in order to identify potential study participants. The recruitment team ensures high quality... 

Fox Corporation

Digital Content Creator Job at Fox Corporation

 ...streaming content and social media. DCCs reach millions of FOX 4 followers on FOX LOCAL, Facebook, Twitter, Instagram, YouTube and TikTok. Work with FOX TV Stations Group Content team to distribute high-interest stories to FOX-owned stations. Monitoring and acting upon... 

Boys & Girls Club of the Peninsula

Creative Technology Lead Job at Boys & Girls Club of the Peninsula

 ...Mateo County, dedicated to empowering 6,000 TK-College students across 29 sites from East Palo Alto to Daly City. We...  ...to the opportunities that will help them thrive in school and beyond. Students benefit from high-quality academic programs, captivating enrichment activities... 

1st Choice, LLC

CSR Supervisor Job at 1st Choice, LLC

1st Choice is currently seeking aPayment Administrator SupervisorinSilver Spring, Maryland. ThePayment Administrator Supervisorneeds motivational skills to manage the entire team of cashiers and any other staff. Because aPayment Administrator Supervisorspends so much...

HR Associates

Plastic Injection Mold Operator Job at HR Associates

 ...manufacturing career here!A Tipp City Manufacturer needs 2nd shift, Injection Mold Machine Operator jobs @ $16 per hour. This position is...  ...Basic Computer Skills~Technical / Mechanical Background in Plastics Industry Preferred~Die-setting Experience for Injection...