Provider Credentialing Specialist

Are you ready to join EPIC STAFFING GROUP and unlock a world of extraordinary opportunities? We're not just a company, we're a dynamic force of innovation and collaboration. Dive into a workplace where your creativity is cherished, your growth is prioritized, and your impact on healthcare and life sciences is monumental. If you're ready for a thrilling journey where passion meets innovation, EPIC is waiting for you. Let's make every day an adventure together! About the Position: Epic Staffing Group is looking for a Provider Credentialing Specialist who will be responsible for all aspects of initial credentialing, recredentialing, and if applicable privileging of providers. Additionally, the position is responsible for managing the process of provider licensing and enrollment to ensure the Strategic Business Unit’s (SBU) healthcare providers are properly qualified and enrolled with insurance networks. About Us: Epic Staffing Group is a diversified national provider of staffing services... to the bio-pharmaceutical and healthcare industries. We focus on outsourced placement of talented and in-demand individuals in Life Sciences, Nursing, Allied Health, Children’s Physical & Behavioral Therapy, and Interim Leadership. What You'll Do: Manage all aspects of the provider enrollment and credentialing process, including initial applications, re-credentialing, and maintaining provider information in all necessary systems including provider state licenses, DEA certificates, board certifications, malpractice insurance and any other expirable documents; prepare provider enrollment applications for payers. Maintain the provider privileging process for providers within the organization, including knowledge of current health plans, agencies, and industry requirements for credentialing providers; coordinate submissions with Health Plans, management services organizations (MSO), or other agencies; facilitate site credentialing with health plans or other entities. Work with provider to ensure timely renewal of provider licenses and certifications; communicate appointment, reappointment, clinical privileging decisions and changes to providers and internal/external parties, as required; assist providers with setting up appointments (e.g., physicals, drug screens, PPDs, Chest X-rays, titers, vaccinations, fit tests, color tests, etc.). Review initial and reappointment credentialing applications and conduct follow-up, as needed; assist with preparation of credentialing packets. Manage incoming and outgoing communications between multiple parties while meeting policy timelines and updating the credentialing database; provide status reports and communicate provider participation information to internal and external clients. Who You Are: You are detail oriented and have the ability to complete assignments with a high degree of accuracy and in a timely and efficient manner. You are flexible and adaptive to changing priorities and service needs. With exceptional verbal and written communication skills, you have the ability to exchange non-routine information using tact and persuasion. You have working knowledge of TJC, Federal and State Healthcare and Education regulations, including HIPAA and FERPA. What You've Done: Graduated from high school or possess an educational equivalent. Worked with the Council for Affordable Quality Healthcare (CAQH) data system. Performed education or healthcare staffing credentialing for at least two years. Salary: $24 - $26/hour Provider Credentialing Specialist Complete Job Description What We Offer: Vacation and Time Off Generous PTO Policy Paid Parental Leave Twelve Annual Paid Holidays Office Life and Perks Active Employee Engagement Programs Cellphone Stipend Technology Stipend (for hybrid/remote positions) Quarterly Snack Boxes Diversity, Equity, Inclusion, and Belonging Program Remote Work Professional Development Charitable Matching Health and Wellness Medical, Dental, Vision, and Hearing Benefits Wellbeats Health and Wellness Programs Employee Assistance Program (EAP) Life and Disability Insurance Pet Insurance Financial and Retirement 401K FSA and HSA Plans Financial Planning Assistance Educational Assistance EEO and Reasonable Accommodation Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Epic Staffing Group complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Epic is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at [email protected]. Explore the exciting career paths waiting for you at EPIC STAFFING GROUP! Our diverse range of open positions offers unique opportunities to ignite your passion and leverage your skills in a transformative environment. Don't miss your chance to be a part of a community where innovation thrives and every voice is valued. Visit our careers page, discover your perfect role, and join our talent community today. Your journey towards an impactful and fulfilling career starts here with EPIC

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