Credentialing Specialist

**Job description**:The **Credentialing Specialist **is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is accurate and logins are available- Update each provider's CAQH database file timely according to the schedule published by CMS- Complete re-validation requests issued by government and commercial payers- Credential new providers and re-credential current providers with hospitals at which they hold staff privileges- Work closely with the Billing and Authorizations Departments to identify and resolve any denials or authorization issues related to provider credentialing- Maintain accurate provider profiles on ECHO, CAQH, PECOS, NPPES, and CMS databases- Additional duties as assigned**Requirements**:KNOWLEDGE, SKILLS, AND ABILITIES- Knowledge of provider credentialing and its direct impact on the practice's revenue cycle- Excellent computer skills including Excel, Word, and Internet use- Detail oriented with above average organizational skills- Plans and prioritizes to meet deadlines- Excellent customer service skills; communicates clearly and effectively**Benefits**- IMSS 100%- Vacations (after the first year)- Christmas bonus- Paid Training- Weekends off- Mexican Holidays offYou will also be eligible for any additional employee benefits that the company may provide in the future.