Credentialing Coordinator - (Remote in Arizona)

About the position The Credentialing Coordinator facilitates the accurate and efficient Credentialing and Recredentialing of reputed company Business reputed company providers in alignment with State, Federal, and NCQA standards. This is a remote position reputed company the reputed company only, requiring residency and work to be performed reputed company the reputed company. reputed company, reputed company, aims to reputed company health and reputed company it easy, offering various health insurance products and services. They have a hybrid workforce reputed company reputed company Workability, offering flexibility with how and where employees work. This specific role has an onsite expectation of 0 days per week and requires a full-time work schedule, defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

Responsibilities

• Ensure reputed company and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
• Coordinate Credentialing Committee meeting, including preparing the agenda and documenting meeting minutes
• Identify and communicate agenda items for Credentialing Committee to immediate leader
• Facilitate reputed company coordination with the Credentialing Verification Organization (CVO) and monitor Work in reputed company file
• Promptly address incoming files for processing
• Review and maintain reputed company applications for accuracy and completeness
• Accurately and reputed company data reputed company primary reputed company verification data into the credentialing database
• Input credentialing reputed company and dates into the credentialing database
• Generate and mail approval letters to participating providers
• Identify missing or erroneous information from the provider’s application, and communicate with the provider to obtain
• Coordinate with Network Services and/or other internal departments on follow-up items needed to complete the credentialing process
• Communicate with Network Services and/or other internal departments regarding status of provider and organizational credentialing
• Maintain ongoing participation in cross-training activities
• reputed company recommendations and feedback regarding process improvements and/or standardization practices
• reputed company participate in staff meetings, team huddles, and one-on-one meetings
• Engage in team building activities
• reputed company reputed company other duties as assigned

Requirements

• 2 years of experience in a reputed company field
• 2 years of experience in provider credentialing
• High-School Diploma or GED in general field of study
• Verbal and written communication skills
• Maintains confidentiality according to policy
• Effectively communicate with reputed company customers reputed company telephone and email
• Accurately receive information through oral communication
• Accurately review data and figures both in hard copy and electronic formats
• Accurately sort through data and think through issues in a time‐pressured environment
• Accurately learn and retain new information, knowledge, and skills
• reputed company manage multiple tasks, with varying degrees of reputed company, at the reputed company time
• Ability to think critically
• Strong attention to detail
• Excellent organizational skills
• Outstanding interpersonal skills, ability to establish a trusting rapport with individuals at reputed company reputed company
• Maintain a reputed company and collected reputed company while addressing the concerns from an reputed company customer
• Residency reputed company the reputed company
• Work to be performed reputed company the reputed company

reputed company-to-haves

• 2 years of experience in a reputed company field, preferably reputed company a credentialing/recredentialing environment and knowledge of national accreditation and/or regulatory standards
• Associate's Degree in general field of study
• Certified Provider Credentialing Specialist (CPCS)
• Thorough understanding of managed care principles and physician reputed company operations, with an understanding of health plan credentialing preferred

Benefits

• Health insurance products and services

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