Credentialing Specialist - Temp Opportunity
Not just your typical workday...
Break away from workplace monotony. At Matrix, our passion is bringing healthcare to underserved populations, innovating new technologies and creating sustainable programs that change lives. When you have the power to make a difference in the health and well-being of others, every day is extraordinary. Were headed to the future of healthcare, come join us!
The Credentialing Specialist is a critical team member responsible for credentialing and re-credentialing Matrix Medical Network (Matrix) practitioners as well as ensuring enrollment with participating client health plans. The opportunities functions include, but are not limited to, processing Matrix Credentialing Applications, performing primary source verifications and updating and maintaining Matrix credentialing database in accordance with internal policies and procedures, client health plan contracts, NCQA guidelines as well as applicable state and federal requirements.
Associates or Bachelors in Business, Finance, Health Care or related field or high school diploma and relevant combination of education and experience
Required Skills and Abilities
Up to three years credentialing experience in a health care setting to include up to two years of practitioner enrollment, credentialing or network services experience
Familiarity with practitioner billing and claims payment system requirements as related to practitioner enrollment
Exceptional critical thinking skills, sound judgment and the ability to communicate in an articulate and sensitive manner with practitioners, administrators, legal counsel and client credentialing personnel
Demonstrated ability and commitment to excellent customer service to maintain and ensure effective working relationships with internal and external clients
Certified Practitioner Credentialing Specialist (CPCS)
Experience with MD-Staff or similar practitioner credentialing, data collection and record management system
Experience with NCQA, URAC and/or The Joint Commission guidelines and standards related to credentialing
Experience with MS Office
Matrix Medical Network is Proud to be an Equal Opportunity Employer