Position: Medical Credentialing Specialist
Location: Anchorage, Alaska
Pay Range: $21 to $25 DOE + benefits
Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to -date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
Duties and Responsibilities:
- Maintain doctor, physician assistant, and nurse practitioner personal confidential files with the following:
- Maintain current Curriculum Vitae
- Maintain for CME records
- Maintain malpractice insurance files, including claims record
- Maintain practice license and registrations with the following information
- Verify DEA certificates.
- Verify State medical licenses.
- Verify State controlled substance registration.
- Special state medical permits.
- Hospital privileges for doctors, physician assistants nurse practitioners, and physician extenders.
- CLIA laboratory certificates for each office.
- CMS Medicare/Medicaid Provider Enrollment.
- Serve as Government and Commercial Insurance Provider Relations liaison.
- Enroll doctors, physician assistant, and nurse practitioners.
- Update commercial provider directories.
- Maintain Provider Relations contacts.
- Maintain files.
- Provide credentialing information, when requested, to referring physicians' office and pharmacies.
- Sets up and maintains provider information in online credentialing database a system.
- Tracks license and certification expirations for all providers to ensure timely renewals.
- Ensures practice addresses are current with health plans, agencies and other entities.
- Reads and routes mail concerning credentialing to appropriate areas or files.
- Composes and types routine correspondence.
- Organizes and maintains file system, and files correspondence and other records
- Other duties as assigned
- Education: High School diploma or equivalent. Associate Degree preferred.
- Certified Provider Credentialing Specialist (CPCS) required, or willing to obtain within 6 months of hire. Employer assistance provided.
- Two years of relevant credentialing experience.
- Ability to organize and prioritize work and manage multiple priorities.
- Excellent verbal and written communication skills including, letters, memos and emails.
- Excellent attention to detail.
- Ability to research and analyze data.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
- Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
All qualified candidates who meet or exceed the above Position Qualifications or have relevant experience will be contacted.
AES 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. While working within the parameters of an Alaska Native Organization, hiring preference will be given to shareholders/spouses/descendants and other Alaska Natives in accordance with Public Law 93-638.
AES matches job seekers with opportunities in which they are recognized and rewarded for their experience, skills and abilities. AES is proud to be an Alaskan-owned company building relationships on integrity and trust since 1977. Our Services are always FREE to candidates.
POSITION OPEN UNTIL FILLED