Credentialing Specialist
- Contract (3-4+ months)
- Part-time (20 hours per week)
- Remote (must reside within the Portland Metro)
- Dental Services
What you should know: Mulberry has partnered with our dental services client to hire a Credentialing Specialist to support their tight knit team!
A day in the life:
- Compiles, evaluates and presents the practitioner specific data collected for review by credentialing committee.
- Ensures the timeliness of verification of credentialing and recredentialing applications by preparing requests for information, notification letters, tracks responses, responds to inquiries and follows up for required information from practitioner.
- Recognizes, investigates and validates discrepancies and adverse information obtained from the application, primary source verifications or other sources.
- Maintains credentialing database to ensure accurate and up-to-date data is available for practitioners, management teams, departments and online directory/profiles.
- Assists in compliance with the accrediting and regulatory agencies (i.e. Dental boards, NPDB, NCQA, CMS) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
- Manages appropriate forms and letters for new employee orientation, credentialing and provider enrollment.
- Identifies and reports adverse actions taken against practitioner/provider in accordance with applicable law and contractual requirements.
- Monitors and/or reports expirables to recommend action to management teams.
- Other duties as assigned.
Your areas of knowledge and expertise:
- Associate’s degree in Business or related field
- 3+ years of credentialing experience
- Certified Provider Credentialing Specialist (CPCS) highly desired
- Detail oriented, proactive, self-starter, and highly communicative
Compensation and Benefits: $25-$30/HR with access to benefits via Mulberry’s employer of record partner.
Mulberry Talent Partners is dedicated to connecting exceptional talent with exciting opportunities. By applying for this position, you will also be considered for other open positions within our network. If you are already part of our community, we encourage you to reach out directly to one of our recruiters regarding any specific roles that catch your eye!
