Credentialing Specialist Job at The Center for Orthopedic and Research E, Phoenix, AZ

TlVjeGVmb3FMaVY2bm04V2FjbUlyc1JlV3c9PQ==
  • The Center for Orthopedic and Research E
  • Phoenix, AZ

Job Description

Job Description

Job Description

Remote position!!

Benefits :

  • Competitive Health & Welfare Benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications :

  • Minimum of 2 years of credentialing experience.
  • High school diploma/GED or equivalent working knowledge preferred.
  • Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public
  • Must be capable of establishing good working relationships with both internal and external customers.
  • Some knowledge of insurance billing and hospital credentialing is a plus.

Essential Functions

  • Reviews and completes hospital and payor applications for all health care providers.
  • Completes verification forms/letters for outside facilities.
  • Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.
  • Track and maintain physician licensure(s), certification, and CME credits.
  • Maintain practitioner credentialing files.
  • Maintain practitioner electronic file by keeping all applications/licensure current.
  • Maintains all renewal applications for both hospitals/insurances.
  • Has knowledge of Employee Handbook content along with established policies and procedures.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Assists the Credentialing Supervisor in their job responsibilities/duties when necessary.

Job Tags

Part time,

Similar Jobs

E-Therapy

Speech Language Pathology Assistant ~ SLPA Onsite Job at E-Therapy

 ...Overview Join Our Team as an Onsite School Speech-Language Pathologist Assistant (SLPA) in Anchorage, Alaska ! Position Details: Start Date : ASAP - May 22, 2026 Hours: 7.5 hrs. per day/37.5 hrs. per week Grade Levels: K-12 students Location... 

Avera Health

Vice President Sales | Avera Health Plans Job at Avera Health

 ...coaching and professional development. Oversee the entire sales pipeline, manage proposals and contract negotiations, and ensure a...  ...leadership as measured by new sales growth, client retention, survey response and compliance metrics including: strategic engagement... 

University of North Carolina Pembroke

Adjunct Ceramics Instructor Wheel Throwing Job at University of North Carolina Pembroke

 ...A renowned educational institution in Pembroke is seeking a part-time Adjunct Ceramicist to teach Ceramics: Introduction to Wheel in Fall 2025 and Spring 2026. Applicants must hold a Master of Fine Arts (MFA) in studio art or have equivalent graduate training. Responsibilities...