CREDENTIALING SPECIALIST - SPINE AND PAIN

Company: Quadrant
Location: Rockville
Posted on: October 25, 2024

Job Description:

Credentialing Specialist -Spine and Pain
Maryland, VA or Washington DC

MUST:
3+years of credentialing at healthcare facilities
Experienced credentialing providers for ASC's
Handling provider enrollments for commercial insurances as well as Medicare
Experienced with CAQH, NDBP, PECOS, license verification, and credentialing software
Experienced with credentialing, and licensing requirements for physicians as well as NP's/PA's
Experience with Medicare enrollment procedures

DUTIES:
The duties of the Credentialing Coordinator include but are not limited to the following:
Compile and maintain data for providers
Completes credentialing and re-credentialing applications
Maintains current state license, DEA certificates, malpractice coverage and any other credentialing documents
Set up and maintains provider information in credentialing databases and system
Track license and certification expirations to ensure timely renewals
Ensure practice addresses are current with health plans, agencies, and other entities.
Process applications for privileges at ambulatory surgical sites

Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act.

Keywords: Quadrant, Sterling , CREDENTIALING SPECIALIST - SPINE AND PAIN, Other , Rockville, Virginia