Credentialing Specialist
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Job Location:
Philadelphia, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Title: Credentialing Specialist
Location: Philadelphia PA
Duration: 3 Months
Job Type: Contract
Note: Top 3 Keywords: 1. Credentialing 2. Primary Source Verification 3. NCQA Requirements
Top Required Skills:
- Primary source verification
- Data entry accuracy
- Organizational & documentation management
Must-Have Skills:
- Intermediate knowledge of Microsoft Office
- Strong verbal and written communication skills
- Strong organizational skills
- Ability to work in a metrics-driven environment
Nice-to-Have Skills:
- Experience with credentialing systems
- Familiarity with NCQA state and federal credentialing requirements
- Customer service or call-queue support experience
Key Responsibilities & Duties:
- Validate completeness of provider applications before processing
- Conduct primary source verification for credentialing and re-credentialing
- Monitor and track site visits to ensure timely completion
- Accurately enter all necessary provider data into the credentialing system
- Respond to phone inquiries from internal and external clients
- Complete assigned projects as needed
Requirements:
- Associates Degree (required)
- Bachelors Degree (preferred)
- Ability to manage multiple tasks with strong attention to detail
- Ability to operate effectively in a structured metric-driven environment
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
