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Healthcare Credentialing Specialist in Atlanta at Vaco

Date Posted: 7/16/2018

Job Snapshot

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  • Experience:
    At least 1 year(s)
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Job Description

Updated 07/16/18

Vaco Atlanta is looking for 2 Credentialing Specialists for a very large health services provider in the Atlanta area. In this role you will be instrumental in starting and maintaining provider and facility credentials with plans, agencies and other entities. This role is temp to perm and pay is negotiable depending upon experience.

Job Duties and Requirements:

  • Completes provider credentialing and re-credentialing applications; monitors applications and follow-up as needed including certificate expiration and renewals
  • Compiles and maintains current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
  • Ensure new offices are credentialed with plans, agencies & other entities
  • Submit and follow up on applications with insurance companies
  • Audits plan directories for current and accurate provider information
  • Performs other duties as required to support the Credentialing Department

Education & Background Requirements:

  • High School Diploma or equivalent required
  • Minimum 1 year of Insurance experience in a multi-entity, multi-state healthcare organization required
  • Minimum 1 year of Credentialing experience in a multi-entity, multi-state healthcare organization required
  • Experience working directly with insurance companies
  • Experience with delegated credentialing is a plus
  • Must be able to work in a fast-paced environment while successfully meeting deadlines and completing large projects
  • Ability to multi-task, work independently, and be self-directed