Credentialing Specialist - Healthcare
6 Month Minimum Assignment with the potential of going Permanent.
Remote Position ( must live in CT or western MA area for in person meetings)
Hour Pay is Based on Experience
The Credentialing Specialist will be responsible for all aspects of credentialing and re-credentialing medical Providers in compliance with NCQA guidelines.
Responsibilities :
- Compiles / Coordinates current enrollment material.
- Coordinates the mailing of current enrollment material to potential practitioner members, ensuring that the current versions of forms are being used.
- Works in conjunction with the Medical Staff Office and collaborates with other departments and practitioner offices to obtain materials needed for credentialing and enrollment as part of the credentialing process.
- Coordinates receipt of credentialing / enrollment materials Follows up on any missing items in a timely manner. Required :
- At least 1 year in a managed care environment or equivalent.
- Knowledge and understanding of credentialing guidelines.
- Ability to organize, prioritize and manage multiple priorities, utilize analytical skills with strong attention to detail.
- Ability to research information, ability to problem solve.
Work for a highly rated Recruiting & Staffing Firm by Google and Forbes Magazine.
INDH
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