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Credentialing Senior Associate in Franklin at Collabera

Date Posted: 9/18/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Franklin
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/18/2018

Job Description

Position Details:
Job Title: Credentialing Senior Associate
Location: Franklin TN
Duration: 12 months+

Job Description:
• This position is accountable for all functions through the initial review of the Onboarding process to assure that physicians meet the health plan's requirements for employment as a contracted physician.
• Processes provider applications by reviewing for credentialing, loading, and contract requirements.
• Ensures compliance with client, NCQA, and state mandates as defined by our policy and procedures.
• Gathers provider’s information, updates customer workflow tool, and communicates with providers by phone, email, or mail regarding Onboarding status and missing information needed.
• Discrepancies associated with provider information submitted may require telephonic outreach to validate and verify health care professional’s credentials.

Education:
• High School Diploma Required
• Associate Degree and previous credentialing experience preferred.

Job Requirements

Skills:
• Excellent organization skills and ability to manage multiple priorities.
• Computer literate in MS Office products.
• Strong communication, interpersonal, and strong time management skills.
• The candidate must be able to work independently, demonstrate good critical thinking skills, and be able to learn and apply quickly in a fast pace work environment.
• Office products.
• Strong communication and interpersonal skills.
• Excellent analytical and problem solving skills.
• Minimum of one year healthcare related experience