Specialist Credentialing GS9491

OSU-Center for Health Sciences

Jamie Childers

Typically Monday - Friday 8 hour shifts

Regular Continuous/Until Further Notice

$18.60 - $21.00 Hourly

While applications will be accepted until a successful candidate has been hired interested parties are encouraged to submit their materials by to ensure full consideration.

This role will work closely with theClinic Outreach and Credentialing Administratorwith the aim of credentialing of new providers and renewals for existing providers with Governmental insurers Medicaid & the 3 MCOs. Position will also work with clinic administrators andtheClinic Outreach and Credentialing Administratorto support the needs of clinicsfor CredentialingSpecialistwill also work withdepartment leadershipinhelping to addresscredentialing needs respond to physiciansstaffand SSI and Availity with the new provider andclinicsinformation. Work closely with the 3 MCOs andsubmitthem weekly rosters. Work with the NPI registry for all termedand newphysiciansand groups. Other duties as assigned. Must be a team player.

• High School/GED (degree must be conferred on or before agreed upon start date)

• Minimum ofthree(3) years of experience in multi-specialty-provider credentialing encompassing government and otherMedicaidinsurance products with increasing responsibility during thattime period or related experience.

Certifications Registrations and/or Licenses:

• Credentialing Specialist (CPCS) Certification or equivalent experience

Skills Proficiencies and/or Knowledge:

• Mustpossessstrong analytical skills.
• Excellent communication and organizational skillsrequired.
• Ability to work independently manage multiple priorities and meet established deadlines.
• Leadership communication customer service multi-tasking and computer skills are necessary for this position.
• Experience dealing with clinical staff as well as financial support staffrequired.
• Must be a team player.

• Associates

• Prefer six (6) years of experience in multi-specialty provider credentialing encompassing government commercial and other insurance products.