Contract Credentialing Specialist — Norfolk

Mindlance; Norfolk (VA); On-site; USD 22,000 - 31,000; Full time

Job summary

SmartRecruiters, Inc. is assisting a client with a temporary Credentialing Spec position in Norfolk, VA. The role involves building provider credentialing files, applying criteria, and ensuring compliance with internal policies and external regulatory agencies.

Work hours are Mon-Fri, 9-5, on-site, under a 6+ month contract with a competitive hourly rate of $18.97. The ideal candidate will gather required documentation, prepare files for credentialing committee review, resolve discrepancies, and

Qualifications

• Requires high school diploma or equivalent.
• 3 years credentialing or related experience preferred.

Responsibilities

• Receives provider applications and contacts providers for additional documentation or clarification.
• Builds file documentation and prepares file for credentialing committee review.
• Applies general guidelines in determining whether provider meets criteria and documents deficiencies.
• Prepares correspondence to providers regarding status.
• Assists in researching pended and probated applications and resolving discrepancies.
• Refers non-approved providers or questionable situations to senior representative.
• May assist in provider education and preparation of provider training materials.
• Performs other duties as assigned.

Skills

Communication skills

Research skills

Word processing

Spreadsheets

Databases

Education

High school diploma or equivalent

Tools

Database software

Job description

SmartRecruiters, Inc. is assisting a client with a temporary Credentialing Spec position in Norfolk, VA. The role involves building provider credentialing files, applying criteria, and ensuring compliance with internal policies and external regulatory agencies.

Work hours are Mon-Fri, 9-5, on-site, under a 6+ month contract with a competitive hourly rate of $18.97. The ideal candidate will gather required documentation, prepare files for credentialing committee review, resolve discrepancies, and