Credentialing Coordinator

Bedford MA

Our client is seeking a temporary Credentialing Coordinator for their Bedford, MA location.

 

Responsibilities

  • Maintains proficient knowledge of credentialing processes, in accordance with company policies
  • Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility
  • Conducts thorough background investigation, research and primary source verification of all components of the application file.
  • Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
  • Processes provider credentialing applications in accordance with accreditation standards, regulatory requirements, and policies and procedures.
  • Examines researches, enters data, files, and gathers all information necessary to process information received from providers to support the credentialing process.
  • Verify, research, and respond to telephone inquiries and written inquiries, from providers and other departments

 

Qualifications

  • Minimum High School Diploma
  • Minimum 1-year experience in data entry (maintenance and manipulation of data)
  • Data Entry skills; Computer skills; documentation skills: MS Word, email, etc.
  • Out/inbound phone skills; Communication and problem-solving skills
  • Minimum 1 years’ experience in healthcare setting, experience with managed care systems is preferred

 

Note: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, we will keep your resume on file for future opportunities and may contact you for further discussion.

Date Posted 11/21/2017
Salary $15 Per Hour






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