Credentialing Specialist I

Immediate need for a talented Credentialing Specialist I. This is a 06+ Months Contract opportunity with long-term potential and is located in FL(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-64302

Pay Range: $22 - $23/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• The candidate will be responsible for vetting the online requests received from existing providers, gathering the required credentialing documents and submitting the request through our internal system.
• If missing information is identified, the specialist will be reaching out to our providers via email to request any missing information.
• Time management is crucial because if they request missing information, once the information is received, they will be required to complete the process in a timely manner, while working on the new requests we receive in the mailbox from providers and through our system from internal customers.
• Credentialing knowledge is helpful but not required, Excel, attention to detail, organizational skills, the ability to prioritize & pivot, communicational skills, problem solving and work under pressure.
• Each credentialer has a folder with their name on it and the emails are assigned to those folders.
• The idea is for the emails assigned to be worked from oldest to newest, they will create a practitioner folder in our S Drive where all the documents will be gathered and saved.
• If they can complete the process, the request is submitted through our internal system and a communication to the provider is sent letting them know the process was completed.
• Missing information is tracked in our SharePoint.
• During the training/learning process the opportunity for OT will not be available.
• Once the employee can meet our required metrics of completing 75 requests a week during their 8-hour shift, and is able to work independently, the OT opportunity will be extended.

Key Requirements and Technology Experience:

• Skills-Credentialing experience, Work under pressure/Time management and Communicational skills.
• Work under pressure.
• Time management.
• Communicational skills.
• NAMSS Credentialing Certification, knowledge of NCQA Standards is highly preferred.
• High School Diploma is required.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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