Job Description
Job Title: Credentialing Specialist
Location: Philadelphia PA
Duration: 5+ months
Shift: 1st shift. 40 hours a week
The Credentialing Specialist is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA, state, and federal requirements.
Responsibilities:
- 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 time frame.
- 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.
Requirements:-
- Intermediate knowledge of PC applications, including Microsoft Office.
- Strong verbal and written communication skills.
- Strong organisational skills are required.
- Ability to perform in a metrics-driven environment.
Job Tags
Part time, Work at office, Shift work, Day shift,