Credentialing Specialist Hybrid, CAQH & Data

Viva Health; Birmingham (AL); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Comprehensive Health, Vision, and Dental Coverage

401(k) Savings Plan with company match

Paid Time Off (PTO)

Tuition Assistance

Employee Wellness Program

Training and Development Programs

Job summary

Viva Health in Birmingham, AL is seeking a Credentialing Coordinator responsible for credentialing and re-credentialing practitioners within their provider network. The role includes using CAQH data and credentialing software to ensure quality assurance in provider data management.

Qualified candidates should have a Bachelor's Degree, 3 years of credentialing experience, and excellent communication skills. The position offers a hybrid work schedule after a training period that is 100% onsite at their downtown Birmingham office.

Qualifications

• Bachelor's Degree or equivalent experience in credentialing.
• 3 years of experience in credentialing.
• Ability to analyze and solve problems related to credentialing.

Responsibilities

• Receive and incorporate CAQH provider data into the credentialing process.
• Make credentialing decisions based on data and software findings.
• Forecast workload trends based on monthly credentialing data.

Skills

Problem analysis and solving

Data manipulation and reporting

Customer service skills

Communication skills

Microsoft Office proficiency

Education

Bachelor's Degree in credentialing or equivalent experience

Tools

Credentialing software

CAQH

CMS guidelines

NCQA guidelines

JCAHO regulations

Job description

Viva Health in Birmingham, AL is seeking a Credentialing Coordinator responsible for credentialing and re-credentialing practitioners within their provider network. The role includes using CAQH data and credentialing software to ensure quality assurance in provider data management.

Qualified candidates should have a Bachelor's Degree, 3 years of credentialing experience, and excellent communication skills. The position offers a hybrid work schedule after a training period that is 100% onsite at their downtown Birmingham office.