The Credentialing Specialist is responsible for all aspects of the credentialing, recredentialing and privileging processes for all medical providers who provide patient care at Wilmington Health and the Wilmington Health Ambulatory Surgery Center. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans and hospitals. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
Two or more years of managed care plan, NCQA or Joint Commission credentialing experience/working knowledge
Ability to use independent judgment to manage and impart confidential information; works independently, is self-directed and effective in a team, high-paced environment
Ability to organize, prioritize, coordinate and follow thru on multiple activities and tasks in a timely manner
Excellent customer service and organizational skills
The ability to handle high volumes of files under tight deadlines and set priorities
Strong teamwork orientation regarding resolution of issues
Demonstrated proficiency in use of Microsoft Office applications; Word, Excel, Access, Outlook; and conducting research using various websites
Excellent verbal and written communication skills are essential. Able to communicate and present information to a wide variety of parties effectively
Additional Salary Information: Based on experience
Internal Number: 19154
About Wilmington Health
Join a vibrant multi-specialty group committed to collaborative quality care. Wilmington Health is the largest private, fully integrated, multi-specialty medical group practice in the area. Generous benefits package including 401K, health and dental insurance, and so much more. And you’ll live where others vacation beautiful Wilmington, NC. If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. Wilmington Health is an equal opportunity employer.