Atlantic Health System

  • Credentialing Specialist

    Job Location(s) US-NJ-MORRISTOWN
    Position Type
    Full-Time
    Shift
    8:30am - 4:30pm
    Category
    Professional
    Department
    20838500 - Physician Practice Management Support
    Facility
    465 South Street - Morristown
  • Overview

    The Physician Practice Management Support Department of Atlantic Medical Group is seeking a Credentialing Specialist to join our team.

    Responsibilities

    Essential Functions:

    • Compiles and maintains physician credentials necessary to ensure initial credentialing enrollment and re-credentialing in Managed Care Plans, Medicare and Medicaid
    • Maintains confidentiality of provider information
    • Handles submission of managed care payer, Medicare and Medicaid applications and monitor/track applications through the payer credentialing process
    • Other related duties as assigned.

    Qualifications

    Education:

    • High School Diploma required

    Qualifications/Requirements:

    • Minimum two years of experience credentialing for Managed Care Insurance Enrollment, Medicare (PECOS) and Medicaid
    • Working knowledge of CAQH and Echo Physician Database is preferred
    • Knowledge of payer credentialing process, ability to organize and prioritize work and manage multiple priorities, excellent verbal and written communication skills, ability to research and analyze data, work independently, and establish and maintain effective working relationships essential
    • Excellent computer skills - Microsoft Office, Excel, and Word a must

     

    Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 10th year in a row to Fortune’s “Top 100 Best U.S. Companies to Work For” list. We believe you’ll find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.

    All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

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