Credentialing Specialist

Direct Staffing Inc; Norfolk (VA); On-site; USD 40,000 - 60,000; Full time

Job summary

A staffing agency is currently seeking an HR Coordinator / Executive Assistant for a contract role in Wilmington, DE. This role involves building provider credential files and ensuring compliance with required criteria. The ideal candidate will have strong communication skills and experience in credentialing. A high school diploma is required, with a preference for candidates with 3 years of relevant experience. This position offers a chance to work with a top life science client and contribute to vital organizational processes.

Qualifications

• Requires high school diploma or an equivalent combination of education and experience required.
• 3 years credentialing or related experience preferred.
• Strong oral and written communication skills, research skills are essential.

Responsibilities

• Responsible for building provider credentials file and making determinations regarding credentialing criteria.
• Receives provider applications and contacts providers for additional documentation.
• Builds file documentation for credentialing committee review.

Skills

Strong oral and written communication skills

Research skills

Ability to use word processing software

Ability to use spreadsheet software

Ability to use database software

Education

High school diploma or equivalent

3 years credentialing or related experience

Job description

Currently seeking a HR Coordinator / Executive Assistant in Wilmington, DE for one of our top Life Science clients for a 6+ month contract role. Kelly is a full service workforce solutions provider to 98% of the Fortune 100™ companies. We provide employment to more than 700,000 people annually and we deal with some of the largest and best companies both nationally and locally.

Job Description

SUMMARY:

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.

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.