Credentialing Specialist – Provider

Detroit
, MI
Healthcare Organizations
Contract

We are seeking a Provider Credentialing Specialist in the metro Detroit MI area. This is a hybrid position 2x/week in the office.

Job Description:
The Provider Credentialing Specialist is responsible for validating, auditing, and maintaining accurate provider information to support provider directory accuracy and data quality. This position conducts provider outreach, researches discrepancies, processes audit results, and works with internal leadership and operational teams to ensure accurate provider data is maintained across systems.

Skills/Experience/Education:

  • 3 – 5 years' experience:
    • Outbound provider inquires – verifying demographics and contact information 
    • Validate provider data on customer facing sites
    • Process provider audit results and collaborate with leadership  
  • Microsoft Office – Excel, Access, Outlook 
  • Systems knowledge (preferred) – PORTICO, SF MACESS, FACETS
  • Education/Certifications – Highschool diploma 

Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

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