Sr. Credentialing Rep
More Information & ApplyJob Profile
Job Title: Sr. Credentialing Representative
Location: Minneapolis MN 55440-9472
Hire Type: Contingent
Pay Range: $30/hr.
Work Model: Remote/onsite only twice a year
Work Shift: Monday-Friday 8:00 am -5:00 pm
Nature & Scope:
Positional Overview
The Sr. Credentialing Representative will play a key role within the Credentialing Compliance team, ensuring compliance with regulatory, accreditation, and payor requirements. This position supports internal and external audits, accreditation surveys, sanction monitoring, reporting, and sub-delegation oversight. The role requires strong organizational and communication skills, the ability to prioritize in a fast-paced environment, and a collaborative approach to supporting both the Credentialing Compliance team and the larger Credentialing department.
Role & Responsibility:
Tasks That Will Lead To Your Success
- Perform ongoing sanction monitoring of providers and entities.
- Prepare and maintain accurate credentialing reports and documentation.
- Conduct oversight of sub-delegated entities, ensuring compliance with delegation requirements.
- Support internal and external audit processes and accreditation surveys.
- Serve as on-site liaison for audits as needed.
- Prepare materials and deliverables for the Credentialing Committee.
- Provide administrative and compliance support to the Credentialing Compliance team.
- Respond to internal and external inquiries in a timely and professional manner.
- Participate in special projects and other duties as assigned.
Skills & Experience
Qualifications That Will Help You Thrive
- High School Diploma or GED required.
- CPCS (Certified Provider Credentialing Specialist) certification is preferred.
- Credentialing background strongly preferred; healthcare industry experience desirable.
- Strong verbal and written communication skills.
- Proficiency in Microsoft Office Suite, especially Excel.
- Ability to work independently and collaboratively in a team environment.
- Strong organizational skills with the ability to prioritize and manage multiple tasks in a fast-paced setting.
- Positive attitude, reliability, and willingness to learn.
Powered by Avionté