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Credentialing Coordinator

Integrated Resources, Inc

Doral, Florida

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JOB DETAILS
JOB TYPE
Contractor
SKILLS
Communication Skills, Data Entry, Metrics, Microsoft Office, National Committee for Quality Assurance (NCQA), Organizational Skills, Presentation/Verbal Skills, Provider Credentialing, Secondary School, Writing Skills
LOCATION
Doral, Florida
POSTED
2 days ago
Credentialing CoordinatorThe Credentialing Coordinator is responsible for processing and completing the credentialing and recredentialing functions of all providers in accordance with NCQA, state, and federal requirements.Principal Accountabilities :Validates completeness of provider applications prior to processing.Conducts primary source verification for all credentialing and recredentialing applications.Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe.Accurately enters all critical data elements of provider applications into Credentialing system.Responds to phone inquiries received into the Credentialing phone queue from internal and external clients.Completes projects as assigned.Requirements :0-4 years of prior provider credentialing experience based on a combination of education and experience.High School/GED with 4 years of experience.Associate's Degree with 1-2 years of experience.Bachelor's Degree with 0-1 years of experience.Intermediate knowledge of PC applications, including Microsoft Office.Strong verbal and written communication skills.Strong organizational skills required.Ability to perform in a metrics-driven environment.

About the Company

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Integrated Resources, Inc