Credentialing Specialist 1

1 week ago


Newport News, United States Sentara Healthcare Full time

Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist I is responsible for administrative duties required during the Credentialing and Re-credentialing processes for a managed care organization, adhering to the National Committee for Quality Assurance (NCQA), State and Federal regulations. They review documentation and data enter specialized information into a centralized credentialing software platform and workflow management system for facility, ancillary, medical and behavioral health providers in a timely, efficient manner. Minimum of 1 year of related experience in one or more of the following areas, managed care or medical staff office credentialing, medical office credentialing or general office work.
- High School Grad or Equivalent
- Related 1 year
- Ability to Work with and Teach Others
- Active Listening
- Communication
- Technology/Computer
- Judgment and Decision Making
- Writing
- Reading Comprehension
- Service Orientation
- Speaking



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