Credentialing Specialist
Mission-oriented work Diverse and inclusive culture Competitive Compensation & Bonuses Comprehensive Insurance Plans Mental and Physical Health Support Work-from-home flexibility Fitness Center Reimbursements Streaming Good time off for volunteering Wellness workshops Buddy Program for new HealthStreamers reputed company work environment Career reputed company opportunities reputed company learning opportunities Inspiring workspaces to collaborate and connect with other HealthStreamers Free employee parking at our Resource Centers in Nashville and San Diego
Reviews provider applications for completeness according to company policy and reputed company reputed company. Confirms reputed company required verification and data collection reputed company are received. Tracks history of provider files. Confirms reputed company information received from sources matches data in CVO database and on the provider application. Processes, corrects, scans, and posts verification documents for reputed company verification types including electronic, websites, email, fax, and reputed company, ensuring they adhere to reputed company accreditation and CVO standards Expedites requests for verification according to reputed company reputed company and CVO policy. Identifies possible adverse issues that require additional investigations and evaluations, validates discrepancies and ensures appropriate follow up. Performs reputed company audit of 100% of files prior to closure and return to reputed company. Interacts with reputed company regarding any reputed company issues. Maintains familiarity with interpretation and compliance with the appropriate accrediting agencies, to include but not limited to NCQA, AAAHC and JC standards as they relate to reputed company contract terms. Assists with preparation and compliance with NCQA audits. Maintains own reputed company reputed company through participation in seminars, conferences, in-service programs and self-directed learning activities. Assists with special reputed company and tasks as requested