Medical Credentialing Analyst – Cary Call Center

4 weeks ago


Cary, United States KTek Resourcing Full time

Job Title: Medical Credentialing Analyst – Cary Call Center

Location: Cary, NC (Remote)

Shift Time: 8 am to 5 pm EST M-F

Open to weekends and overtime


Job Description:

Key Purpose of Role:

As an analyst the successful candidate will be responsible for their respective KPI performance in a US

health care process

 To be passionate about Customer Satisfaction and contribute to CAQH Customer Satisfaction

 To make every call a warm experience for our customers while complying with policies & procedures

 To help the development of an excellent working climate within the function

 To be a team-player and assist colleagues in their contribution to achieving the Business goals

 To actively support all multi-skilling initiatives within the process

 Display a high level of integrity in all dealings with internal/external customers

Key Competencies

 Sound analytical skills to ensure eye for detail with Logical & customer centric issue resolution skills

 Ability to analyze, interpret and draw inferences from research findings

 Ability to use independent judgment to manage and impart confidential information.

 Ability to make administrative/procedural decisions and judgments

 Respond to inquiries from providers and or PO’s, interface with internal and external customers on

day-to-day credentialing and privileging issues as they arise

 Contributor to Performance Management Targets by maintaining the set Average Handling Time and adhering fully to scheduled Breaks/Rosters

 Demonstrated success in handling large volumes of work

 Ability to organize, prioritize, and accomplish tasks within established timeframes

 Demonstrated proficiency in utilizing reference materials

 Working experience in MS Office tools


Eligibility Criteria

 Any Graduate (Arts/science/commerce/business), high school graduate

 Typing speed to be >25 Words/Minute with an Accuracy of 90% or more

 Effective verbal and written communication skills, including ability to remain calm in potentially

stressful situations with medical professionals

 Minimum 2 years of direct customer service experience in a call center

 Previous experience in a healthcare or health insurance setting

 Aptitude test scoring of 90% and above



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