CREDENTIALING SPECIALIST

Integrated Resources Inc.; Grand Rapids (MI); On-site; USD 45,000 - 60,000; Full time

Job summary

Integrated Resources Inc. is looking for a Credentialing Specialist to handle provider credentialing and data management. This role requires strong communication and organizational skills, alongside expertise in Microsoft Office. The successful candidate will ensure compliance with policies and standards while meeting deadlines in a fast-paced environment.

Qualifications

• Experience with Microsoft Office required.
• Strong communication and time management skills essential.
• Accurate data entry and document storage experience necessary.

Responsibilities

• Perform provider Initial Credentialing and Recredentialing.
• Conduct primary source verifications and analysis.
• Manage provider data projects and credentialing tasks.

Skills

Accurate provider data entry

Communication

Time management

Microsoft Office

Job description

IRI believes in commitment, Integrity and strategic workforce solutions.

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.



We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.



Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

The Credentialing Specialist will perform provider Initial Credentialing, Recredentialing and/or Ongoing Monitoring including, but not limited to provider calls, primary source verifications, analysis, and independent evaluation that meets Priority Health policy and procedures, criteria, state, NCQA Accreditation and CMS standards.
Savvy internet skills are required in order to perform online verifications.

Qualifications

Accurate provider data entry and document storage into Priority Health systems is required.
Microsoft Office experience required.
In addition, the Credentialing Specialist will work on other provider data management and credentialing projects as assigned.
Excellent communication and time management skills are a must in order to meet tight deadlines and productivity goals

Additional Information

Regards,
MonilPatel
Technical Recruiter
Integrated Resources, Inc
[phone] Ext.338
monil @irionline.com