Credentialing specialist - united states, chattanooga
temporary insurance credentialing specialist
pay rate: $20/hour
start date: 2022-10-03
end date: 2023-01-06 (contract could extend)
work hours: 8a - 5p remote
minimum of 2 years expereince in insurance credentialing and remote work required
job description: the credentialing specialist is responsible for the credentialing and recredentialing of providers in compliance with internal standards, policies and procedures. this includes entering data, performing appropriate credentialing verifications, preparing and files for various internal and external entities. the credentialing specialist will assist in conducting credentialing delegation reviews as well as preparation and delivery of monthly and quarterly reporting for various persons. principal duties and responsibilities works directly with providers to ensure all necessary credentialing information has been received prior to beginning the credentialing process enters provider data into appropriate data management systems performs all credentialing verifications necessary to complete the credentialing process while maintaining the appropriate compliance standards prepares and presents providers records for credentialing committee review notifies providers of credentialing decisions within compliance timeframes assists providers with all questions related to provider credentialing performs provider re-credentialing, at least every 36 months in compliance with ncqa standards assists in preparing and delivering monthly and quarterly reports to various delegated entities assists in monitoring of license expirations and any change in status and takes action when appropriate assists in reviewing and updating criteria and credentialing policies and procedures, as necessary, but at least annually educates providers regarding criteria and credentialing policies and procedures when necessary works with network management to ensure providers’ initial information and updates are sent for processing timely and accurately assists network management and support staff with provider data management as it relates to adding new providers in system of records always maintains provider and patient confidentiality provides positive, supportive, communication to providers at all times collaborates with other departments and outside agencies to meet identified needs of the providers and their patients, while also ensuring credentialing staff cooperation other duties as may be assigned skills: strong verbal and written communication skills strong data entry skills high level of accuracy and attention to detail ability to gain high level of knowledge involving intricate aspects systems of record strong customer service philosophy critical thinking and problem-solving abilities familiarity with microsoft office, with strong excel skills ability to thrive in a fast-paced environment and meet assigned deadlines
equal opportunity employer/veterans/disabled
the company will consider qualified applicants with arrest and conviction records
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