Company Description
Valley Perinatal Services (VPS) specializes in providing exceptional care for high-risk pregnancies through a team of Maternal Fetal Medicine (MFM) specialists, nurse practitioners, midwives, and skilled sonographers. Focused on collaborating with expectant mothers and their OB teams, VPS is committed to delivering better health outcomes for both mothers and their babies. With a patient-first approach, the team at VPS works to achieve the healthiest gestational outcomes and support safe deliveries while minimizing complications. Located in Mesa, AZ, VPS continues to lead the way in delivering high-quality maternal and fetal care.
Role Description
This is a full-time, on-site Credentialing Specialist role based in Mesa, AZ. The Credentialing Specialist will be responsible for managing the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all applicable regulatory standards. Responsibilities will include verifying staff credentials, handling Medicare-related credentialing, maintaining accurate records, and liaising with providers and insurance companies. The role will also involve ongoing communication with staff to ensure the highest quality standards in medical credentialing and customer service.
Responsibilities
Inventory and update providers credentialing documents
Submission and follow-up of initial and reappointment applications practice divisions
Communicate with providers to resolve pending items
Collaborate with compliance regarding provider exclusion verification and updates
Escalate to supervisor unresolved items needing further review
Maintain and report provider and facility credentialing dashboard
Communicate with providers to resolve pending items
Collaborate with compliance regarding provider exclusion verification and updates
Collaborate with billing and practice operations to resolve claim issues due to credentialing problems
Manage providers malpractice insurance coverage status
Resolve escalated items needing further review
Qualifications