Role Description
Reports to the Contracting and Credentialing Manager. Primary responsibility includes but is not limited to preparing and submitting provider credentialing applications to insurance organizations and tracking follow-up. This position will also support the Provider Onboarding and Credentialing Coordinator, as needed, with provider intake data and maintenance of credentialing files.
• Prepare, submit, and follow-up on provider credentialing applications
• Maintain a detailed log of all pending and completed work in credentialing software
• Assist with intake documents and input data into credentialing software and credentialing database
• Assist with monitoring database for pending expirations of licenses, certifications, malpractice insurance, etc.
• Ability to work in a fast-paced environment
• Maintain confidentiality and integrity in all aspects of the credentialing process
• Other duties as assigned. This is a safety-sensitive position
Qualifications
• High School Diploma or equivalent. Associate or Bachelor Preferred
• 1+ years of medical credentialing is preferred
Requirements
• Strong written and verbal communication skills
• Demonstration of a professional and adaptable demeanor
• Requires initiative and the ability to follow directions
• Strong organizational skills and attention to detail
• Ability to work independently with minimum supervision, set priorities, and follow through
• Skill of proficiency in computer applications Word, Excel, Adobe
• Working knowledge of CAQH and PECOS preferred
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