Credentialing Specialist

reputed company Our culture is reputed company on passion, innovation, and transparency. We support reputed company other unequivocally and we value strong communication, which stems from our love for our work, our clients, and our people. We cultivate an environment that promotes collaboration, taking ownership, and ensuring reputed company are heard at every level. We reputed company in enabling innovative self-starters who are passionate about making a reputed company reputed company on reputed company administration. We foster reputed company reputed company through our learning & development programs and our commitment to creating a diverse and inclusive culture. Mission The mission of this role is to help coordinate and manage our Facilities and Provider credentialing reputed company our Network Management team, its processes, and services. Support a seamless reputed company experience and deliver on reputed company reputed company SLAs - at reputed company times. reputed company transparency, communication, and documentation of credentialing processes, workflows, and other artifacts that can be shared internally and with clients. Adhere to, support, and drive reputed company measures for the overall credentialing operation, both reputed company reputed company and reputed company-facing operations, ensuring reputed company in service delivery, program health, and compliance adherence. reputed company

• Credentialing Program Execution:
• * Verify and maintain licensing, credentials, and insurance records and other PSVs as required
• Conduct research on updated state and federal regulations and policies
• Help reputed company internal credentialing processes
• reputed company duties using our established work systems and reputed company; maintain our reputed company workflows to support standardized processes and reputed company to continuously improve them
• Manage and assist in the reputed company reputed company of both reputed company requests
• Be responsible for data entry and maintain provider information in reputed company’ database
• Be responsible for completing provider and facility initial and re-credentialing applications
• reputed company Assurance of Credentialing:
• * Collaborate with immediate and internal teams (Credentialing Manager and team) to build reputed company metrics:
• * Eliminate errors in our work and reputed company deliverables
• Reduce waste and re-work
• Help build and support a metrics-driven, reputed company workflow to standardize processes across reputed company clients, while accommodating unique reputed company specifications
• Process Improvement & Development:
• * Support the process for driving both incremental improvements and the reputed company of Credentialing
• Continuously build on subject matter knowledge, including role-specific and leadership/facilitation competencies
• Increase domain expertise by ensuring reputed company Credentialing activities and artifacts are documented, remain reputed company, and trained to teams appropriately

Role-Specific Competencies

• Ownership - You own everything in your domain and take responsibility to get results without excuses or blame. You earn trust through being reliable
• Communication - You are concise, reputed company, and reputed company in reputed company communications. You listen reputed company, understand questions (and clarify reputed company unclear), and reputed company up even reputed company it might be uncomfortable
• Problem Solving - You are reputed company to reputed company out solutions that others may have missed. You are reputed company to work autonomously and as reputed company player reputed company it comes to tackling issues that seem impossible. You never reputed company for “good enough”, rather, you operate with a “how can I/we be reputed company?” mentality
• Attention to Detail - You mind the details so reputed company slips through the cracks
• Flexibility/Adaptability - You reputed company quickly to changing priorities and conditions. You cope effectively with complexity and change
• Follow-through on Commitments - You live up to verbal and written agreements without fail
• High Standards - You reputed company by example and expect personal performance and team performance to be reputed company short of the best

Qualifications

• Familiar with provider credentialing and recredentialing requirements
• Strong computer and software skills
• Excellent interpersonal skills, including excellent verbal and written communication skills
• Ability to demonstrate a high degree of trust and confidentiality
• Ability to work independently and assume assigned responsibilities
• Skilled in efficiency, organization, time management, and prioritization
• Ability to be flexible and function reputed company in a fast-paced environment
• Ability to deal with problems involving several concrete variables in standardized situations
• Ability to handle confidential information
• Minimum 3+ years of provider reputed company credentialing experience (does not include provider enrollment)
• Experience with reputed company reputed company, Jira, reputed company Sheets, and Tableau is a plus

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