What are the responsibilities and job description for the Credentialing Professional position at LanceSoft, Inc.?
Title: Credentialing Professional
Location: Remote
Estimated Length of Assignment: 12 Months (the dates provided are only an estimate and not a guarantee)
Est. Pay Range: $18/hr. - $20/hr. USD
Work Type: Remote
Description:
The Credentialing Professional 2 obtains and reviews documentation to determine status in a health plan. The Credentialing Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Credentialing Professional 2 reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Reviews the information and documentation collected, as well as verification that the information is accurate and complete. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Required Qualifications
Has credentialing experience
Prior work experience in a compliance or auditing function
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Strong written and oral communication skills
Demonstrated attention to detail and accuracy
Proven analytical skills and creative thinker
Demonstrated ability to respond effectively as issues arise
Self-motivated with an ability to manage multiple priorities and work under pressure to meet deadlines
Ability to interact effectively with associates across all levels of the organization
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Bachelor’s degree in business or related field
Knowledge of state regulations pertaining to compliance in the insurance industry
Minimum 3 - 4 years of healthcare / insurance industry experience
Experience working with governmental agencies
Familiar with CAQH
Location: Remote
Estimated Length of Assignment: 12 Months (the dates provided are only an estimate and not a guarantee)
Est. Pay Range: $18/hr. - $20/hr. USD
Work Type: Remote
Description:
The Credentialing Professional 2 obtains and reviews documentation to determine status in a health plan. The Credentialing Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Credentialing Professional 2 reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Reviews the information and documentation collected, as well as verification that the information is accurate and complete. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Required Qualifications
Has credentialing experience
Prior work experience in a compliance or auditing function
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Strong written and oral communication skills
Demonstrated attention to detail and accuracy
Proven analytical skills and creative thinker
Demonstrated ability to respond effectively as issues arise
Self-motivated with an ability to manage multiple priorities and work under pressure to meet deadlines
Ability to interact effectively with associates across all levels of the organization
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Bachelor’s degree in business or related field
Knowledge of state regulations pertaining to compliance in the insurance industry
Minimum 3 - 4 years of healthcare / insurance industry experience
Experience working with governmental agencies
Familiar with CAQH
Salary : $18 - $20
