What are the responsibilities and job description for the Credentialing Coordinator position at V R Della Infotech Inc?
Job Description
Job Description
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.
Required Skills : ORGANIZATIONAL SKILLS,METRICS,MICROSOFT OFFICE,QUEUE MANAGEMENT,
Hours Per Day : 8.00
Hours Per Week : 40.00
Languages : English( Speak, Read, Write )
Department : AMHSS_1016_226 : Provider Enrollment Svc Growth
Job Category : NonClinical - Admin / Claims / CSR / Tech
