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Credentialing coordinator

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Credentialing coordinator

  • Location:

    Plantation

  • Sector:

    MRS Pharmacy

  • Job type:

    Temporary & Contract

  • Salary:

    US$14 - US$16.75 per hour

  • Contact:

    Will Taylor

  • Contact email:

    wtaylor@medicalrecruitmentstrategies.com

  • Job ref:

    BBBH375291_1650467810

  • Published:

    2 months ago

  • Expiry date:

    2022-07-19

  • Client:

    Medical Recruitment Strategies

Handling high volume requests from providers.
Position is remote but workers must go IN THE OFFICE once a week to process mail.

**Non safety sensitive - no drug screening required**

REQUIRED EXPERIENCE
MUST HAVE Medical background with Claims, Prior Authorization, and Credentialing
Excel - Basic Spreadsheets, Pivot Preferred
Medical Terminology - Basic Understanding

PREFERRED EXPERIENCE
Associates degree preferred; or an HS diploma highly experienced in MS Excel
QNXT - Experience preferred
Candidates with Email & Phone Etiquette testing will be prioritized

Internally supports and contributes to positive provider relationships by handling routine provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status.

-Supports the maintenance of contract or demographic data
-Triages routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage
-Escalates issues as appropriate
-Supports or assists with operational activities that may include, but are not limited to, database management and contract coordination
-Performs credentialing support activities as needed
-Educates providers on portals, protocols, policies, procedures, and services to enhance the overall provider experience
-May assist with or perform standard provider recruitment or contracting or re-contracting functions and discussions