Credentialing Spec

One of our clients has a temporary position open for Credentialing Spec located in Norfolk VA with a competitive hourly rate. After reviewing your resume posted on an online job board, I believe your education and skill set could be a good fit for this particular opportunity.

Job Title :
Credentialing Spec

Client Location : 5800 Northhampton Blvd Norfolk VA 23502

Contract Duration : 6+ months Extendable contract based on performance

Work Timings : M-F 9-5

Pay Rate : $ 18.97/hr.

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.

• 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

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, ability to use word processing, spreadsheet and database software required.