Credentialing Specialist Job

Employer Name:	SpiderID: 2900137
Location: Kansas City, Missouri	Date Posted: 9/23/2009
Wage:	Category: Business/Management
Job Code:

Job Description:
Credentialing Specialist

Responsibilities:
• Act as a Liaison and contact point between clients and our clients’ staff and payor organizations and exercise discretion and judgment in all situations
• Handle document processing, record keeping and report compilation of patients seen
• Produce technical reports with a high degree of accuracy within prescribed time frame
• Maintain the firm’s clients online CAQH and electronic application files
• Review applications for completeness
• Gather missing data/information
• Receive, classify, reconcile, consolidate and/or summarize documents and information on a daily basis
• Accurately file documents pertaining to application files
• Maintain accurate and complete log of activities including providers credentialed and status of each application
• Compile, analyze and interpret data requiring thorough knowledge of credentialing and the process of securing provider participation with various entities
• Interact with contacts both inside and outside of company to facilitate completion of job duties, projects and special assignments
• Respond to non-routine correspondence or telephone contacts in area of authorized responsibility
• Interpret data and make recommendations accordingly
• Provide support to management including reports, special projects and other duties as assigned

Job Requirements:
Qualifications:
• High school diploma
• 4 years of healthcare-related experience in credentialing
• 2 years relevant experience with Medicare and Medicaid payor organizations is preferred
• As this is a telecommuting position, the applicant must have or be able to get high-speed internet, 2 computer monitors and a headset that will be purchased by the company
• Thorough understanding and knowledge of guidelines regarding credentialing standards as governed by NCQA and other applicable state and federal regulatory agencies

Benefits:
We value our employees’ time and efforts. Our commitment to your success is enhanced by our competitive pay of $13-$14 an hour and an extensive benefits package including paid time off, medical, dental and vision benefits and future growth opportunities within the company. Plus, we work to maintain the best possible environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where each person feels encouraged to contribute to our processes, decisions, planning and culture. Finally, this is a telecommuting position!

To Apply:
Please submit resume to: https://administaff.ats.hrsmart.com/cgi-bin/a/highlightjob.cgi?jobid=54718

Administaff is not a staffing agency. In fact, most of our listings presented are great full-time or part-time opportunities with small- to medium-sized companies. By delivering HR services such as recruiting, payroll and training, Administaff can help its clients focus on what they do best. And because we have the inside track to these firms, you'll have a jump on your next career!

Administaff is proud to be recognized: Most Admired Companies, Fortune 1999, 2000, 2001 and 2002, Fortune 500, Platinum 400 and Forbes.

EOE

Company Profile:
We are a practice management company offering consulting and business services as a partner in addressing the components of a successful revenue process for our clients. As such, we see elements such as managed care contracting, state and federal regulatory compliance, credentialing, onsite clinic operations, clinical service reporting, as well as other strategic planning initiatives integral components of fiscal viability. Carrying out our vision has allowed our team to develop a specific area of expertise in the business operations. Currently, we are searching for a detailed and customer service-oriented Credentialing Specialist who loves to juggle many tasks at one time!

Contact Information:

Contact Name: -	Company Type:
Company:

City: Kansas City
State: Missouri
Zip:

Web Site: http://administaff.ats.hrsmart.com/cgi-bin/a/highlightjob.cgi?jobid=54718