Credentialing Support Specialist

Medical Services of America; Lexington (SC); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Prescription coverage

Dental insurance

Vision insurance

Company paid employee life insurance

401(k) with company match

Paid time off

Job summary

MedAmerica, a division of Medical Services of America, is seeking a Full-Time Credentialing Support Specialist at its Lexington, South Carolina corporate office. The role focuses on completing, submitting, and tracking credentialing and re-credentialing data with meticulous attention to detail and timeliness.

Responsibilities include maintaining provider data, preparing applications, and ensuring compliance and security across portals and documents, while delivering strong customer service to

Qualifications

• High school diploma or GED; at least 2 years of credentialing-related experience.
• Advanced data entry skills required.
• Excellent organizational skills required.
• Excellent oral and written communication skills required.
• Valid Driver's License.
• Generous paid time off and comprehensive benefits.

Responsibilities

• Complies and maintains current and accurate data for assigned providers.
• Maintains credentialing and re-credentialing documents, including secure portals.
• Prepares credentialing and licensing applications and gathers supporting documents.
• Develops and maintains spreadsheets for monitoring as directed.
• Maintains internal processes to meet deadlines set by Managed Care Payors.
• Assembles credentialing and re-credentialing packets in a neat, orderly fashion.
• Maintains a HIPAA compliant environment.
• Exhibits exemplary customer service to internal and external customers.
• Supports and contributes to team efforts and related tasks.

Skills

Data entry

Organizational skills

Written communication

Verbal communication

Attention to detail

Customer service

Education

High school diploma or GED

Job description

MedAmerica, a division of Medical Services of America, is currently looking for a Full-Time Credentialing Support Specialist at our corporate office in Lexington, South Carolina.

This position will be responsible for completing, submitting, and tracking credentialing and re-credentialing data while demonstrating a high level of attention to detail and accuracy, with an emphasis on timeliness.

Essential Duties and Responsibilities

• Complies and maintains current and accurate data for assigned providers.
• Maintains credentialing and re-credentialing documents. To include health plan secure portal access and validate provider profiles/demographics.
• Prepares credentialing and licensing applications and gathers supporting documents.
• Develops and maintains spreadsheets for monitoring as directed.
• Maintains organizational notifications on a variety of managed care credentialing and licensing. To include relocations/openings/closures for organization.
• Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.
• Maintains internal processes to ensure that information is available to appropriate users.
• Assembles credentialing and re-credentialing packets in a neat and orderly fashion.
• Maintains a HIPAA compliant environment.
• Supports and maintains a positive team environment at all times.
• Exhibits exemplary customer service to both internal and external customers of the organization.
• Contributes to team effort by accomplishing related tasks as requested.

MINIMUM JOB REQUIREMENTS

• High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
• Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
• Advanced data entry skills required.
• Excellent organizational skills required.
• Excellent oral and written communication skills required.
• Valid Drivers License
• Generous paid time off
• Medical/Prescription, Dental & Vision Insurance and other benefits (STD, LTD, Accident & Sickness, additional life insurance, etc.)
• Company paid employee life insurance
• 401(k) retirement with a generous company match