Credentialing Specialist

Washington Regional Medical Center is seeking a qualified candidate to join our team as a credentialing specialist. This role will be based out of our Plymouth, NC office.

Job Description:

The credentialing specialist will be responsible for the development, review, and approval of medical records and provider credentials for Washington Regional Medical Center’s managed care clients. This position will work closely with our managed care team to ensure that the credentials are accurate and compliant with the managed care contract requirements. The credentialing specialist will also be responsible for the review and approval of provider credentials for Washington Regional Medical Center’s managed care clients.

Qualifications:

• Bachelor’s degree in health or medical field; or equivalent combination of education and experience; or combination of education and experience and certification in health or medical field
• Minimum 3 years’ experience in medical record review, credentialing, and approval
• Ability to work independently with minimal supervision
• Ability to work well under pressure
• Strong organizational skills with attention to detail
• Ability to prioritize tasks effectively
• Ability to multi-task and manage time effectively while maintaining high quality standards in all tasks assigned

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Benefits:

• Health insurance
• Paid time off

Schedule:

• Monday to Friday
• Weekends as needed

Ability to commute/relocate:

• Plymouth, NC 27962: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Office: 1 year (Preferred)

Work Location: In person