Credentialing Specialist
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Job Location:
Philadelphia, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Duties
- The Credentialing Specialist is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA state and federal requirements.
Principal Accountabilities:
- Validates completeness of provider applications before processing.
- Conducts primary source verification for all credentialing and re-credentialing applications.
- Monitors the progress and completion of all site visits by the provider network team to ensure completion within the established timeframe.
- Accurately enters all critical data elements of provider applications into the Credentialing system.
- Respond to phone inquiries received in the Credentialing phone queue from internal and external clients.
- Completes projects as assigned.
Skills:
- Intermediate knowledge of PC applications including Microsoft Office.
- Strong verbal and written communication skills.
- Strong organizational skills are required.
- Ability to perform in a metrics-driven environment..
Education
- Associates Degree
- Bachelors Degree
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
