Credentialing Spec

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

One of our clients has a temporary position open for Credentialing Spec located in Norfolk VA with a competitive hourly rate. After reviewing your resume posted on an online job board, I believe your education and skill set could be a good fit for this particular opportunity.

Job Description

Job Title : Credentialing Spec

Client Location : 5800 Northhampton Blvd Norfolk VA 23502

Contract Duration : 6+ months Extendable contract based on performance

Work Timings : M-F 9-5

Pay Rate : $ 18.97/hr.

Responsible for building provider credentials file and making file determinations regarding required credentialing criteria based on general guidelines, ensuring compliance with internal policies and external regulatory agencies.

MAJOR JOB DUTIES AND RESPONSIBILITIES

• Receives provider applications and contacts providers for any additional supporting 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

Qualifications

EDUCATION/EXPERIENCE

Requires high school diploma or an equivalent combination of education and experience required. 3 years credentialing or related experience preferred.

Skills

Strong oral and written communication skills, research skills, ability to use word processing, spreadsheet and database software required.