Job Details
Administrative Assistant - Credentialing Coordinator
Posted: 11/04/2019
Position: Full Time
About This Job:
We are looking to hire an organized, dynamic and detailed oriented office Administrative Assistant and Credentialing Coordinator to assist us with administrative tasks pertaining to our practitioners' credentialing. The Credentialing Coordinator will organize, maintain and verify all aspects of the process, and maintain current files on practitioners. You will track the expiration of certifications to maintain up-to-date files, and assist health plan providers and customers with phone inquiries.
To be successful in this role you should ensure the currency and accuracy of all information. Preferred candidates will be reliable, energetic and have excellent people skills.
Roles & Responsibilities:
  • Processing initial credentialing and re-credentialing applications.
  • Screening practitioners' applications and supporting documentation to ascertain their eligibility.
  • Identifying discrepancies in information and conducting follow-ups.
  • Presenting applications to the insurance facility’s Credentialing Committee.
  • Assisting customers with credentialing inquiries.
  • Responding to health plan provider inquiries.
  • Capturing primary source documentation in computer databases.
  • Ensuring data is backed up.
  • Ensuring compliance with applicable laws, regulations, procedures, and policies.
Requirements & Qualifications:
  • Proficiency in Quickbooks Online software.
  • The ability to multitask.
  • Basic bookkeeping skills. Creating invoices
  • Excellent organizational and time management skills.
  • Effective communication skills.
  • Sound customer service skills.
  • Detail-oriented.
  • Excellent verbal and written communication skills.
  • Proficient with Microsoft Office Word and Excel.
  • Proficient touch-typing skills.
  • Ability to focus for extended periods.
Skills Required:
Administrative Support
Admin Assistant Level 4
Email Handling Level 4
Office Admin Level 4
General Office Skills Level 4
Typing Level 4
Time Management Level 4
BPO Level 4