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License and Credentialing Specialist
Equum Medical. Coordinate the licensing and credentialing process for all Equum contracted providers in accordance with company standards, Federal and State laws .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating licensing and credentialing processes, utilizing Modio Health credentialing software, and managing data accuracy for reporting. Proficient in developing policy documentation and conducting presentations while ensuring compliance with medical credentialing standards.
Highest-signal resume keywords
5+ Years Credentialing ExperienceModio Health Credentialing SoftwareExcel ProficiencyDatabase Management SkillsMedical Credentialing Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing Process CoordinationData AnalysisReport GenerationPolicy DevelopmentPresentation SkillsExcel Pivot TablesVLookup FunctionsDatabase ManagementMedical Staff Policies KnowledgeAccreditation Requirements Knowledge
Soft Skills
Effective CommunicationInterpersonal SkillsCooperative Work EnvironmentJudgment and Decision-MakingAnalytical Thinking
Tools & Technologies
Modio Health SoftwareExcel
Industry Keywords
Credentialing AuditsMedical CredentialingPrivileging ProceduresFederal and State LawsHealth System Clients
About the role
Key responsibilities & impact- Coordinate the licensing and credentialing process for all Equum contracted providers in accordance with company standards, Federal and State laws
- Coordinate management of the Modio licensing and credentialing database and associated modules, ensuring data accuracy and reporting to downstream systems
- Monitor critical data for analysis and report generation
- Coordinate management of the electronic credentials application, including distribution, receipt, processing, and timely delivery to health system clients
- Monitor and report turnaround times for credentials applications
- Provide on-site consultations across Equum Medical regarding credentialing practices and services
- Prepare and conduct credentialing orientations and provide updates on new policies and procedures
- Prepare for and coordinate credentialing audits as needed
- Perform miscellaneous job-related duties as assigned
Requirements
What you’ll need- 5+ years of experience directly related to the duties and responsibilities specified
- Knowledge of Modio Health credentialing software or similar software and ability to become lead user quickly
- Knowledge of Excel
- Ability to make administrative/procedural decisions and judgments
- Ability to investigate and analyze information and draw conclusions
- Ability to develop and deliver presentations
- Ability to process computer data and format and generate reports, particularly using Pivot Tables, VLookup and other basic Excel reporting functions
- Ability to communicate effectively, both orally and in writing
- Ability to foster a cooperative work environment
- Strong interpersonal and communication skills and ability to work effectively with a wide range of constituencies in a diverse community
- Skill in developing policy and procedure documentation
- Database management skills
- Knowledge of related accreditation and certification requirements
- Knowledge of medical credentialing and privileging procedures and standards
- Knowledge of medical staff policies, regulations, and the legal environment within which they operate
Benefits
Comp & perks- Flexible scheduling to help maintain work/life balance and long-term career sustainability
- Performance bonus
- 401k
- Continuing education
- Benefits (subject to eligibility requirements)