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Credentialing Analyst
- Rhode Island
- Woonsocket
- Pay : $ 24.99 per hour
Job Description:
Are you detail-oriented, organized, and passionate about healthcare compliance? Staffmark is seeking a Credentialing Analyst to join our dynamic team and play a crucial role in ensuring that our healthcare providers meet all credentialing and compliance standards.
Schedule: Monday to Friday, 8:00am-4:30pm
Pay: $24.99/hr.
What You’ll Do:
- Process initial and re-credentialing applications for nurse practitioners, physician assistants, and physicians
- Monitor expired licensure, compliance, and credentialing databases to ensure accuracy
- Manage system access for providers with out-of-compliance licensure or board certification
- Conduct compliance monitoring and alert leadership of any concerns
- Process malpractice insurance verifications and maintain provider credentialing records
- Support payer enrollment and assist with resolving claims issues
- Maintain and update provider information in internal systems and SharePoint
- Assist with payer audits and ensure adherence to Joint Commission, NCQA, and URAC standards
- Recommend process improvements for greater efficiency
- Collaborate with leadership and internal teams to meet deadlines
What We’re Looking For:
- 3+ years of experience in the healthcare industry with credentialing experience
- Strong understanding of credentialing standards and compliance regulations
- Proficiency in Microsoft Office (Outlook, Word, Excel)
- Excellent communication and interpersonal skills
- Ability to multitask, stay organized, and work independently
- NAMSS Certified Professional Credentialing Specialist (CPCS) certification preferred
- Education: High School Diploma required; Associate’s or Bachelor’s in Business preferred
We offer medical, dental, and vision insurance, life insurance, short-term disability, 401k plans, weekly pay, referral bonus potential, employee discount programs, and more.
Be a part of a company that is making a difference in healthcare! If you’re ready to take the next step in your career, then click “Apply Now.” We are eager to connect with you!
Job Number: 1875193
Zip Code: 02895