Credentialing Specialist

Direct Staffing Inc; Richardson (TX); On-site; USD 17,047 - 24,280; Full time

Job summary

A staffing agency is seeking a qualified candidate in Richardson, Texas to ensure the accuracy of provider data and manage credentialing activities. The ideal candidate will have at least 3 years of related experience, proficiency in Microsoft Office tools, and possess strong communication and organizational skills. Responsibilities include auditing data and ensuring timely network participation of approved providers. The pay is $15.00 per hour, and interested candidates must submit their resumes promptly.

Qualifications

• Minimum 3 years of related experience.
• 9 months credentialing, provider services, or customer service experience.

Responsibilities

• Ensure required provider data is accurate prior to committee review.
• Audit, monitor and report data needed for credentialing activities.
• Ensure required documentation for network participation is collected and current.
• Ensure approved providers are loaded timely for network participation.

Skills

Strong verbal and written communication skills

Organizational skills

Decision-making ability

Ability to multi-task

Education

High School

Tools

Windows

Word

Excel

Business databases

Job description

Job Description

Pay: $15.00 per hour

Job Duties

• Ensure required provider data is accurate prior to committee review.
• Audit, monitor and report data needed to perform defined credentialing activities for regulatory agencies and internal policies and procedures.
• Ensure required documentation for network participation is collected and current at the time of committee determination.
• Ensure approved providers are loaded timely for network participation.

Job Requirements

• Years of experience (minimum/maximum): 3 years of related experience
• Required education: High School
• 9 months credentialing, provider services production or customer service experience
• PC experience to include Windows, Word, Excel, and business databases
• Strong verbal and written communication skills
• Organizational skills and decision-making ability
• Ability to multi-task

Preferred Job Requirements

• Access experience
• Knowledge and understanding of NCQA/MCO/CVO guidelines and requirements
• Knowledge of RNPS and PIP or similar provider databases

This position is recruited for by a remote Kelly office, not your local Kelly branch. To be considered for this position, you must submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position at JINE044@KELLYSERVICES. COM ; however your resume must be received via the “submit” resume button included within.