Credentialing Coordinator

Description :

Position SummaryThe Credentialing Coordinator is responsible for obtaining and verifying appropriate credentialing documentation for all necessary MTM and / or Ride Right stakeholders including, but not limited to : Drivers, Members, vehicles, and Transportation Providers.

This is a critical function of our business and must be completed with a high level of accuracy.Essential Functions

• Accurately follow the credentialing protocols of Network and Client contracts
• Review credentialing documents and determine whether compliance standards have been met; escalate to Legal Department as necessary
• Ensure timely review of all documents
• Make educated approval decisions based on assessment results
• Lead calibration meetings in order to ensure compliance of stakeholders, nationwide
• Maintain adherence to MTM’s Service Agreements
• Maintain metrics related to credentialing activity
• Review the list of stakeholders that are currently not in compliance or those who are at-risk of becoming non compliant and make appropriate determinations
• Audit to ensure stakeholder compliance and communicate any necessary updates
• Determine approval or rejection of stakeholder credentials
• Make process recommendations to Legal Department, in efforts to improve quality and process
• Audit contractual documents for accuracy and compliance
• Run sanction checks, as required
• Organized
• Ability to scan documents and save them to a fileoDocuments currently stored in paper filesoWill need to create an electronic file equivalent of paper file
• Ability to create users within credentialing platform
• Ability to upload documents into credentialing platform
• Ability to process documents within credentialing platformThis will be an in office role through completion of the project which is estimated to be about a month.

Skills :

customer service, data entry, microsoft office

Top Skills Details :

customer service,data entry,microsoft office

Additional Skills & Qualifications :

Knowledge, Skills, and Competencies

• The ability to retain knowledge of various governmental and company requirements for transportation providers and their supporting staff
• Maintain confidentiality and professionalism during all Client, Provider, and Company interactions
• Ability to identify and respond to customer needs and circumstances
• Ability to make educated decisions
• Ability to acquire and maintain in-depth knowledge of department process and procedures
• Strong attention to detail
• Exemplary communications skills
• Must have the ability to handle multiple tasks and situations effectively
• Knowledge of Microsoft systems such as Outlook, Excel, Word
• Ability to maintain high level of confidentiality
• Regular attendance is requiredRequired Education and Experience
• High School Diploma
• Previous customer service experience
• Experience with data entry

Experience Level : Entry Level

Entry Level

About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.