Kapalı

Credentialing Specialist II (Remote Opportunity!)

Position Overview

The Credentialing Specialist II performs the credentialing and re-credentialing of provider applications in accordance with the departmental policies and procedures and in compliance with applicable State and Federal laws and regulations, as well as National Committee for Quality Assurance (NCQA) standards.

Primary Duties and Responsibilities

Receives and processes incoming applications and supporting credentials from providers

Performs timely follow-up with providers on all pending applications

Performs the primary source verification according to departmental policies and NCQA standards

Builds and accurately maintains provider information in various systems

Responds to inquiries regarding the status of provider’s application

Qualifications

Knowledge, Skills and Abilities

1-3 years credentialing experience, preferably in a managed care setting, preferred

Associate degree or Certified Provider Credentialing Specialist (CPCS) certified preferred

Knowledge of NCQA standards and payer credentialing standards highly desired

Previous experience working with Council for Affordable Quality Healthcare (CAQH) application highly desired

Knowledge of dental industry preferred

Strong computer, data entry and clerical skills required

Excellent interpersonal, oral and written communication skills required

Critical thinking, detail oriented and strong organizational skills required

Leadership Behaviors

Continuously strives to provide superior products and customer service

Builds collaborative relationships that are mutually respectful

Demonstrates self-awareness and embraces feedback

Beceriler: Veri Girişi, Excel, Araştırma, Araştırma Yazarlığı, İnternet Araştırması

Daha fazlasını gör: data entry data conversation, difference data entry data proceesing, chapcha entry data entry, credentialing specialist certification, credentialing specialist salary, remote credentialing specialist jobs, credentialing specialist linkedin, remote provider enrollment jobs, provider credentialing jobs, virtual credentialing jobs, credentialing verification organization jobs, touch sight entry data entry job, toronto proengineer opportunity position contract engineer design, remote copywriting position, remote telemarketing position, linux remote opportunity, oracle dba remote opportunity, credentialing specialist, credentialing specialist jobs, insurance credentialing specialist

İşveren Hakkında:
( 0 değerlendirme ) Atlanta, United States

Proje NO: #18924682

Bu iş için 5 freelancer ortalamada $33/saat teklif veriyor

hestiadm

Good day! I saw your post and it reminds me of my previous job as a customer service representative handling dental eligibility,benefits, claims and the credentialing of our dental providers. I used to work on that lin Daha Fazla

$25 USD / saat
(1 Yorum)
3.1
mamunnagain

Hello Hope you are doing well. I have read your project twice and confidently assure i can complete your task perfectly, without satisfaction. I am available to assist yu remote login and can assu=iest yu 24/7 ( res Daha Fazla

$33 USD / saat
(0 Değerlendirme)
0.0
dany94g

Actitud

$41 USD / saat
(0 Değerlendirme)
0.0
apollochaitu

Please explain your requirement so that we can process the request. Need to understand exactly what is the requirement to from the practice Just to identify the re-credentialing dates or doing complete enrollment

$25 USD / saat
(0 Değerlendirme)
0.0
joracab

Project Management Software Information Management Agile methodologies DataScience Bussiness Inteligence DataManagement [login to view URL] linkedin: https:/ Daha Fazla

$41 USD / saat
(0 Değerlendirme)
0.0