Credentialing Specialist
4 weeks ago
Actalent is seeking a skilled Credentialing Specialist to join our team. The successful candidate will be responsible for reviewing credentialing spreadsheets to ensure compliance with Visual Cactus Data Entry Policies. This will involve assisting with implementation tasks in Visual Cactus, including data validation, UAT, and workflow review, as well as creating workflow documentation.
Core Functions
Annual audits for current sub-delegation credentialing agreements
Assisting with entering information into credentialing spreadsheets to ensure data is accurate and up-to-date
Entering providers into Visual Cactus
Assisting with processing initial and re-credentialing files
Health plan roster validations/roster management
Entering data on Anthem Blue Cross provider add/change/term roster template and site creation forms
Pre-Delegation Audit
Performing pre-delegation audit for credentialing sub-delegation agreement
Requirements
Visual Cactus
Credentialing
Roster management
This is a contract position with a duration of 6 months. The successful candidate will be working remotely, Monday to Friday, 8am to 5pm PST, and will be supporting 2 teams consisting of 7 credentialing specialists and managers. If you are a skilled credentialing specialist looking for a new challenge, please submit your updated resume and a couple of reasons why you are a strong fit for the role.
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