What are the responsibilities and job description for the Credentialing Coordinator position at Global Force USA?
Job Title: Credentialing Coordinator
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
Education:
Required Skills:
Publications: No.
Veteran Status: No.
# of Positions: 4.
Location:
Philadelphia, PA
200 Stevens Drive
Schedule
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.
- 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:
- AUDIT
- AUDITS
- DATA ENTRY
- DATABASE
- DATABASES
- LPN
- QM
- RHIA
- RHIT
- RN
- TELEPHONE
- TRAINING
- English
- Read
- Write
- Speak
- RHIA
- RHIT
- RN
Publications: No.
Veteran Status: No.
# of Positions: 4.
Location:
Philadelphia, PA
200 Stevens Drive
Schedule
- Start Date: 04/22/2024.
- Estimated End Date: 07/31/2024.
- Hours Per Week: 40.00.
- Hours Per Day: 8.00.
Salary : $23
