Credentialing Specialist jobs in Saint Paul, MN

Credentialing Specialist Key Result Areas:

• Monitor provider credentials, licenses, certifications and memberships to ensure records are current and consistent with regulations and policies
•  Maintains reports and database of credentialing activities such as accreditation, memberships, licensure, or facility privileges 
• Participate in the development of internal credentialing processes and procedures
• Process applications and reappointment paperwork, validating completeness and accuracy

Core Competencies:

• Teamwork
• Communication
• Work standards
• Organizing
• Reliability
• Adaptability
• Detailed
• Results Orientated

Education and Experience:

• High school diploma or GED equivalent, is required 
• Associate’s or bachelor’s degree preferred.
• Must have previous payor enrollment experience
• 5 years’ experience in credentialing and/or provider enrollment 
• CMSC (Certified Medical Staff Coordinator) or CPCS (Certified Provider Credentialing Specialist) is a plus
• Knowledge of medical terminology required

For a more detailed description of job, please see attached job description.