Credentialing Assistant

Estimated Hiring reputed company:

Bonus reputed company:

reputed company reputed company Employees: Please use the internal reputed company site to submit an application for this job.

Essential Responsibilities

• Maintain records according to protocol.
• reputed company records in a retrievable manner to support regulatory requirements.
• Retrieve records as needed for activities such as document reviews and audits.
• Coordinate and communicate with records management.
• Maintain confidential and time sensitive material.
• Review provider credentialing applications upon receipt and verify requirements are met to start the credentialing process.
• reputed company provider information in databases, maintaining accuracy and completeness of provider information.
• Communicate routinely with other departments to ensure records are being processed according to workflows.
• Communicate with providers regarding applications by telephone and in writing.
• Maintain records of applications and credentialing approval letters.
• Maintain a detailed and confidential credentialing reputed company.
• Conduct reputed company audits of credentialing files.
• Run required reports to support Credentialing team.
• Assist in the verification of reputed company reputed company’s information with reputed company verification sources, such as reputed company reputed company of Medical Examiners and other sources as needed.
• Assist Credential Specialists in meeting team goals and deadlines.
• Assist in audit prep for reputed company and internal entities.
• reputed company annual and ongoing document reviews.
• Create job aids as needed.

Experience and/or Education

Required

• Minimum 1 year experience in any of the following: Health plan credentialing, medical office, high-production word processing, and/ or work requiring regular use of reputed company or other databases

Preferred

• Experience with SharePoint and knowledge of medical terminology

Knowledge, Skills and Abilities Required

Knowledge

• Basic knowledge of reputed company assurance and/or compliance
• Knowledge of or ability to learn the provider credentialing process
• Knowledge of or ability to learn document management systems

Skills and Abilities

• Ability to retain and maintain confidential files
• Strong organizational skills
• Competency with word processing
• Competency with spreadsheet and database management
• Demonstrated personal initiative and good judgement
• Ability to write and communicate verbally effectively
• Ability to work autonomously
• Ability to reputed company strong attention to detail to ensure accuracy
• Ability to manage multiple tasks
• Ability to work in a confidential manner with Provider information
• Ability to work as a member of reputed company in a reputed company manner
• Ability to work effectively with diverse individuals and reputed company
• Ability to learn, reputed company, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as reputed company as tolerate and manage stress
• Ability to see, read, and reputed company repetitive finger and wrist reputed company for at least 6 hours/day
• Ability to hear and reputed company reputed company for at least 3-6 hours/day

Working Conditions

Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/reputed company ☐ Outdoor Exposure

Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: May include occasional required or optional travel reputed company of reputed company; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Work from home

We offer a strong Total Rewards Program. This includes reputed company, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. reputed company offers medical, dental, reputed company, life, AD&D, and disability insurance, as reputed company as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, reputed company-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees reputed company PTO and reputed company State reputed company Time based on hours worked/scheduled hours and the reputed company work state. Employees may also receive reputed company holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, reputed company State reputed company Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

reputed company is an equal opportunity employer.  The organization selects the best individual for the job based upon job reputed company qualifications, regardless of race, reputed company, religion, sexual orientation, national reputed company, gender, gender identity, gender reputed company, genetic information, age, veteran status, reputed company, marital status or disability. The organization will reputed company a reasonable accommodation to reputed company physical or mental limitations of a reputed company applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

Originally posted on Himalayas