Credentialing Coordinator

4 weeks ago


Philadelphia, United States vTech Solution Full time
Duties:

The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA, state, and federal requirements.

Principal Accountabilities:
  • Validates completeness of provider applications before processing.
  • Conducts primary source verification for all credentialing and re-credentialing applications.
  • Monitors the progress and completion of all site visits by the provider network team to ensure completion within the established timeframe.
  • Accurately enters all critical data elements of provider applications into the Credentialing system.
  • Respond to phone inquiries received in the Credentialing phone queue from internal and external clients.
  • Completes projects as assigned.
Skills:
  • Intermediate knowledge of PC applications, including Microsoft Office.
  • Strong verbal and written communication skills.
  • Strong organizational skills are required.
  • Ability to perform in a metrics-driven environment.
Education:
  • High School/GED with 4 years of experience. OR
  • Associate's Degree with 1 to 2 years of experience. OR
  • Bachelor's Degree with 0 to 1 years of experience.
  • 0 to 4 years of prior provider credentialing experience based on a combination of education and experience.


Language:

English

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(Read, Write, Speak) AUDIT,AUDITS,DATA ENTRY,DATABASE,DATABASES Address: 200 Stevens Drive, PA001
Work Performed OnSite:
Reason Details:
Start Date: 04/22/2024
End Date: 07/31/2024
Schedule Notes: None

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