GENERAL SUMMARY:

We are looking for a positive person who is interested in being a success and will help take the company to the next level. Mpower Healthcare, culture calls for superior customer service, excellent understanding of best practices in credentialing and a commitment to team problem solving and solutions. The seasoned professional for this job needs superior communication and computer skills including strong familiarization with the credentialing processes, Microsoft Outlook, Word and Excel.

ESSENTIAL WORK SKILLS/KNOWLEDGE & ABILITIES:

• Updates and maintains physician CVs
• Completes Initial and reappointments applications on all physician for local and out reach hospitals
• Completes initial credentialing and re-credentialing applications on all physicians
• Ensures all clinical staff licensures and certificates are current
• Assists Business Office staff as needed
• Maintains strictest confidentiality
• Performs other duties as assigned

SKILLS AND ABILITIES:

Able to perform all essential duties with or without accommodations, including but not limited to:

• Knowledge of medical credentialing
• Skill with computer applications
• Tactfulness in dealing with patients, co-workers and other professional offices.
• Knowledge of medical terminology
• Ability to courteously work with medical staff, hospital staff, insurance company representatives, co-workers, and others
• Is the subject-matter expert for credentialing staff and leadership; effectively communicates information to staff
• Ability to communicate clearly in both oral and written forms

 EXPERIENCE AND TRAINING:

• Minimum of two years’ experience in credentialing physician or surgeon claims
• Certified Provider Credentialing Specialist (CPCS) credentials are preferred
• Knowledge of legal and regulatory government provisions
• Knowledge of laws that regulates communication and privacy act. HIPAA laws and understanding of the application of all above

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