Credentialing Coordinator I
3 weeks ago
Arizona Priority Care is seeking a highly organized and detail-oriented Credentialing Coordinator I to join our team. As a Credentialing Coordinator I, you will play a critical role in ensuring the accuracy and completeness of provider credentialing data.
Key Responsibilities:
- Process initial credentialing and recredentialing applications for practitioners in accordance with contracted health plans, regulatory bodies, and NCQA standards.
- Verify primary sources and enter data into the Morrissey database with a minimum of 10 files per week and a 95% accuracy rate.
- Manage the credentialing database in Morrissey by making necessary changes to provider demographics.
- Provide exceptional customer service and assist practitioners with the credentialing process.
- Maintain current knowledge of CMS and NCQA Standards, and AZPC Credentialing, Plan, policies and procedures.
Requirements:
- High school diploma or GED required.
- Minimum of 1-year administrative healthcare-related experience.
- Minimum of 2 years of credentialing/re-credentialing experience preferred.
- Knowledge of Morrissey credentialing software system preferred.
What We Offer:
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
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