Credentialing Specialist II
Credentialing Specialist II
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
City/State
Norfolk VAWork Shift
First (Days)Overview:
Sentara Health is hiring a Payor Enrollment Credentialing Specialist II for the Provider Credentialing Department.
This is a Full-time 40 hours per week Day shift position Mon-Fri between the hours of 7:00am-5:00pm.
Under the supervision of a Credentialing Supervisor/Manager the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re-credentialing processing for a managed care organization adhering to the National Committee for Quality Assurance State and Federal regulations. They review investigate and process primary source verifications for facility ancillary medical and behavioral providers in a timely efficient manner.
Education
- High School Diploma
Certification/Licensure
- CPCS - Certified Provider Credentialing Specialist (Preferred)
Experience
- Requires thorough knowledge of managed care provider credentialing/re-credentialing principles methods regulations and procedures normally acquired through a minimum of 2 years of directly related experience. Acceptable areas demonstrating experience would be direct work experience with organizations such as a CVO MCO HMO or Hospital Based Credentialing (MSO).
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Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
