Credentialing Services Specialist
Credentialing Services Specialist
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Job Description
Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!
Modivcare is looking for an experienced Credentialing Services Specialist III to join our this role you will be responsible for managing the administrative credentialing process to ensure fulfillment of insurance requirements and the credentialing of sub-contractor vehicles and drivers. You will support compliance with all applicable regulations and maintain documentation that meets contract standards.
This role
Collects and verifies documentation for provider credentialing including licenses and certifications.
Maintains and audits provider documents in an electronic filing system to ensure contract compliance.
Communicates with outside agencies via email phone and other channels.
Prepares weekly reports for management and may resolve complex credentialing issues.
Ensures compliance with applicable laws regulations and agency rules.
Maintains accurate and timely data entry into relevant databases.
Collaborates across departments to meet credentialing-related contractual obligations.
Recommends process improvements to management and the Credentialing Services team.
Provides guidance and knowledge-sharing support to entry-level credentialing staff.
Stays current on industry regulations accreditation standards and internal procedures.
Participates in additional projects or duties as assigned.
We are interested in speaking with individuals with the following
High School Diploma required.
Two (2) or more years of experience in an administrative assistant or similar role.
Or an equivalent combination of education and/or experience.
In-depth knowledge of credentialing processes and regulatory standards.
Strong analytical and problem-solving skills with a high attention to detail.
Excellent verbal and written communication skills.
Effective organizational and time-management abilities.
Intermediate proficiency with Microsoft Word Outlook and Excel.
Ability to maintain confidentiality and handle sensitive information appropriately.
Salary: Starting at $21.64/hr
Modivcares positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role the number of roles and the number of applications received. We encourage our prospective candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage prospective candidates to check back often for new postings.
We value our team members and realize the importance of benefits for you and your family.
Modivcare offers a comprehensive benefits package to include the following:
- Medical Dental and Vision insurance
- Employer Paid Basic Life Insurance and AD&D
- Voluntary Life Insurance (Employee/Spouse/Child)
- Health Care and Dependent Care Flexible Spending Accounts
- Pre-Tax and Post --Tax Commuter and Parking Benefits
- 401(k) Retirement Savings Plan with Company Match
- Paid Time Off
- Paid Parental Leave
- Short-Term and Long-Term Disability
- Tuition Reimbursement
- Employee Discounts (retail hotel food restaurants car rental and much more!)
Modivcare is an Equal Opportunity Employer.
- EEO is The Law - click here for more information
- Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
- We consider all applicants for employment without regard to race color religion sex sexual orientation national origin age handicap or disability or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance please reach out to us at
Required Experience:
Unclear Seniority
Employment Type
Full-Time
