High School Diploma or GED with 4 years of experience, or an associate’s degree with 1-2 years of experience, or a Bachelor’s Degree with less than 1 year of experience., Intermediate knowledge of PC applications, including Microsoft Office., Strong verbal and written communication skills., Strong organizational skills and ability to perform in a metric-driven environment..
Key responsibilities:
Process and complete credentialing and re-credentialing functions of all providers according to NCQA, state, and federal requirements.
Validate completeness of provider applications and conduct primary source verification.
Monitor progress and completion of site visits by the provider network team.
Respond to phone inquiries from internal and external clients and complete assigned projects.
Report This Job
Help us maintain the quality of our job listings. If you find any issues with this job post, please let us know.
Select the reason you're reporting this job:
Description: The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA, state, and federal requirements.
What You Will Do:
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.
You Will Be Successful If:
Intermediate knowledge of PC applications, including Microsoft Office.
Strong verbal and written communication skills.
Strong organizational skills are required.
Ability to perform in a metric-driven environment.
What You Will Bring:
High School Diploma or GED with 4 years of experience or associate’s degree with 1-2 years of experience or Bachelor’s Degree with less than 1 year of experience.
0 to 4 years of prior provider credentialing experience based on a combination of education and experience.
About Impresiv Health:
Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.
That’s Impresiv!
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.