What are the responsibilities and job description for the Provider Credentialing Specialist position at NTT DATA?
Job Title: Provider Credentialing Specialist (Temporary 6 Months or longer)
Industry: Healthcare
FSLA status: Non-Exempt
Department: Operations
Level: Entry to mid-level
Location: Remote
Pay Rate: 20.00-22.54
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is 20.00-22.54. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA Services currently seeks a Provider Credentialing Specialist to join our team for a six month or longer temporary assignment with the possibility of being hired permanently. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications.
You will join and work with a team of talented people who enjoy solving tough problems and improving the healthcare industry. They believe in supporting both personal and professional growth. That means, they pay attention to goals, celebrate milestones, and highly encourage learning opportunities.
JOB SUMMARY
NTT Data is seeking a Provider Credentialing Specialist experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.
In this role you will be responsible for:
JOB QUALIFICATIONS
ESSENTIAL FUNCTIONS
All duties and responsibilities are essential job functions and are subject to possible modification to reasonably accommodate individuals with disabilities. Other functions and accountabilities may be assigned from time to time. Regular attendance is an essential function of this position. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently.
TYPICAL PHYSICAL DEMANDS
Requires sitting for long periods of time. Some bending, stretching or reaching required. Requires the physical dexterity to operate a keyboard, calculator, telephone, copier and other office equipment as necessary. Requires ability to perform data entry functions for 95% of the scheduled work shift and perform duties in a fast-paced environment with high demands and tight deadlines. Requires ability to view computer monitor for long periods of time without eyestrain.
About NTT Data, Inc.
NTT DATA, Inc. partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure, and business process services. NTT DATA, Inc. is part of the NTT DATA family of companies, together comprising a top 10 global business and IT services provider with 100,000 professionals in more than 50 countries, and is part of NTT Group, a partner to 85 percent of the Fortune 100. Learn more at https://us.nttdata.com/en/.
EEO Statement
NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions based on merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex sexual orientation genetic information, physical or mental disability, veteran or marital status, or any other class protested by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.
Industry: Healthcare
FSLA status: Non-Exempt
Department: Operations
Level: Entry to mid-level
Location: Remote
Pay Rate: 20.00-22.54
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is 20.00-22.54. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA Services currently seeks a Provider Credentialing Specialist to join our team for a six month or longer temporary assignment with the possibility of being hired permanently. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications.
You will join and work with a team of talented people who enjoy solving tough problems and improving the healthcare industry. They believe in supporting both personal and professional growth. That means, they pay attention to goals, celebrate milestones, and highly encourage learning opportunities.
JOB SUMMARY
NTT Data is seeking a Provider Credentialing Specialist experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.
In this role you will be responsible for:
- Assists in the preparation of deliverables for payer and internal audit requests
- Assist with credentialing tasks as needed
- Building and maintaining effective, positive internal and external customer relationships
- Conducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirements
- Performing credentialing business process functions as needed, performing scheduled and random credentialing file audits
- Reviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvement
JOB QUALIFICATIONS
- 3 years of experience in Provider Credentialing and compliance
- 3 years of experience in Microsoft Office
- 3 years Excel experience
- Bachelor Degree
ESSENTIAL FUNCTIONS
All duties and responsibilities are essential job functions and are subject to possible modification to reasonably accommodate individuals with disabilities. Other functions and accountabilities may be assigned from time to time. Regular attendance is an essential function of this position. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently.
TYPICAL PHYSICAL DEMANDS
Requires sitting for long periods of time. Some bending, stretching or reaching required. Requires the physical dexterity to operate a keyboard, calculator, telephone, copier and other office equipment as necessary. Requires ability to perform data entry functions for 95% of the scheduled work shift and perform duties in a fast-paced environment with high demands and tight deadlines. Requires ability to view computer monitor for long periods of time without eyestrain.
About NTT Data, Inc.
NTT DATA, Inc. partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure, and business process services. NTT DATA, Inc. is part of the NTT DATA family of companies, together comprising a top 10 global business and IT services provider with 100,000 professionals in more than 50 countries, and is part of NTT Group, a partner to 85 percent of the Fortune 100. Learn more at https://us.nttdata.com/en/.
EEO Statement
NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions based on merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex sexual orientation genetic information, physical or mental disability, veteran or marital status, or any other class protested by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.
