Managed Care Credentialing Support Specialist

3 days ago Be among the first 25 applicants

This range is provided by Medical Services of America. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$13.00/yr - $16.00/yr

This position will be responsible for completing, submitting, and tracking credentialing as well as re-credentialing data while demonstrating high attention to detail and accuracy with an emphasis on timeliness. We are looking for a full-time specialist in our Lexington, South Carolina office.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Complies and maintains current and accurate data for assigned providers.
• Maintains credentialing and re-credentialing documents, including health plan secure portal access and validating 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, including relocations/openings/closures for the organization.
• Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.
• Ensures 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 Driver's License required.

We are an Equal Opportunity Employer

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Associate

Full-time

Administrative, Legal, and Other

Hospitals and Health Care, Legal Services, and Data Infrastructure and Analytics