Credentialing Spec

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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.

Please review the highlights of the position below and if this is of interest to you, please call me directly at 732-847-2541 to discuss the particulars. If this role is not of interest to you, please respond with a short overview of the types of opportunities that you feel best reflect your education, experience and career path.

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.

MAJOR JOB DUTIES AND RESPONSIBILITIES

• 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

EDUCATION/EXPERIENCE: Requires high school diploma or an equivalent combination of education and experience required. 3 years credentialing or related experience preferred.

Skills

Looking for candidates who have 3 to 5 years experience working in claims, credentialing and documentation or member provider, or any combination of education and/or experience which would provide an equivalent background . If you are interested feel free to reach Priti Kumari at 732-847-2541 or send me the updated resume on (dot)com