Credentialing Coordinator

Description:

Medlink Communications is looking for experienced Credentialing Specialists (Male).

MedLink Communications is a Management Services Organization, We Manage Medical Practices based in the United States and provides them with Staffing, HR, Credentialing, and Technical Support Services. Dealing with Medical Providers across United States.
What You'll Do:
Credentialing specialists maintain regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. Initiate and support the practitioner application process by sending, receiving, and analyzing practitioner documents and data import to determine completeness in preparation for the credentials verification process
• Responsible for gathering, verifying evaluating highly confidential and sensitive health care practitioner credentials consistent with departmental guidelines and accreditation standards
• Efficiently perform all aspects of credentialing verification, including initial credentialing and recredentialing to ensure current credentials and timely handoff and/or review and approval of practitioner files
• Respond to all practitioner, client health plan and internal inquiries in a timely manner
• Monitor expiring licensure, board and professional certifications and other expirable documents with practitioners within the prescribed timeframe
• Maintain practitioner paper and electronic data files for CAQH to submit practitioner data as required to credential individual practitioners
• Responsible for accurate data entry to ensure the integrity of credentialing information in applicable database(s)
• Collaborate with participating clients, department manager and/or external agencies to facilitate and ensure smooth hand-off during the credentialing process
• Use critical thinking skills to conduct follow-up with individual practitioners and internal and external entities to resolve discrepancies identified during the credentialing process •
• Shared responsibility for reviewing, processing and distributing incoming correspondences (i.e., interdepartmental mail, fax and email)
What We're Looking For:
• Knowledge of medical credentialing and privileging procedures and standards
• Excellent verbal and written communication skills
• Proficient in Microsoft Office Word and Excel
• Ability to focus for extended periods
Job Timings: 6:00 PM – 3:00 AM PST (Mon – Fri)
Positions: 10
Location: near old Air Port, Rawalpindi
Salary: Market Competitive