Provider Credentialing Specialist

Overview

Join to apply for the Provider Credentialing Specialist role at Mambo Seafood Restaurants.

This is a full-time, benefited position at the Company’s administrative office in Lawrenceville, GA.

• Ensure company and providers maintain compliance with all regulatory and accrediting institutions
• Monitor staff and provider credentials and licenses
• Follow-up with insurance carriers and provider networks regarding credentialing/contracting status for providers
• Communicate with physicians on licensure and document renewal expirations
• Complete contracting recredentialing application
• Maintain CAQH profiles for physicians based on Medicare regulations
• Keep records on licenses, credentials, and insurance contracts
• Release information to agencies and members of the public as required by law
• Comfortable working in a growing, dynamic organization and able to navigate change
• Maintain a safe clean work environment
• Additional duties as assigned

• Self-motivated with ability to thrive in a fast-paced, team environment
• Ability to multi-task, prioritize and manage time effectively
• Excellent written & verbal communication skills
• Personable and confident while providing exceptional patient care

• Minimum 1-year previous experience in credentialing preferred
• Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred
• Experience using eClinical
  
  Works preferred
• Bachelor's Degree preferred, or equivalent combination of education, training, and experience