Credentialing Representative

Job Description

Job Description

Under the direct supervision of the Manager of Credentialing, responsible for credentialing of providers and associated activities in support of the credentialing process in accordance with established Health Plan credentialing policies following NCQA, Medicare, the state of West Virginia, West Virginia Medicaid, and the state of Ohio policies and procedures.

Required :

• High school diploma or equivalent.
• At least two years related healthcare experience.
• Strong organizational, interpersonal, and critical thinking skills.
• Excellent communication skills, both written and verbal
• Ability to multi-task, prioritize workload to meet deadlines, and pay meticulous attention to detail.
• Ability to troubleshoot, problem solve and work as a team as well as independently.
• Experience in Microsoft Office Programs such as Word, Excel and Adobe Acrobat.

Desired :

Responsibilities :

Equal Opportunity Employer

The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

8 : 00am - 5 : 00pm

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