Healthcare Credentialing Specialist

Healthcare Credentialing Specialist needs 2 years' experience in healthcare with a focus on credentialing operations. • Healthcare Credentialing Specialist requires: • Clear understanding and ongoing knowledge of changes in the Managed Vision Care industry including credentialing, eligibility checking, claims filing and payment receipt. • Credentialing in healthcare Healthcare Credentialing Specialist duties: Assists with managing the credentialing process and partners with doctors to ensure all paperwork is complete, accurate and accounted for including insurance applications, and internal paperwork for either employed or sublease doctors.

Sources information from various internal databases to complete as many of the business applications as possible. Identifies missing or inaccurate data and researches the best solution, confirming accuracy including updating all applicable databases with relevant information for credentialing and insurance contracting. • Assists in uncovering and resolving doctor credentialing questions and/or issues and recommends and creates program enhancements to better the doctor's experience.