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Credentialing Representative

TBD Hooksett Contractor
$80,310.00 (Careerbuilder est.)
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Job Title: 9579262 Credentialing Representative

Location: Two College Park Drive, Hooksett, NH

Possible Start Date: 10/28/19 - 3/31/2020 (Contract to Hire Depending on Performance)

Schedule: M-F 8: 30-5

  • Accurate and expeditious verification of HealthCare Professional credentials
  • Ensure all Health plan and National Committee for Quality Assurance requirements are met
  • Knowledge of and compliance with NCQA and state specific standards
  • Assist in the testing and implementation of procedures to improve efficiency
  • Prepare Health Care Professional documentation for Credentialing Committee review
  • Ability to exceed quality and production metrics
  • Maintain provider profiling system
  • Communicate via verbal and written means with providers and matrix partners
  • This is not a call center environment, but does require communication with Health Care Professionals

Skills:   

  • Able to handle multiple priorities and be accountable
  • Excellent organizational and time management skills
  • Computer literate in Microsoft Office, Access, and Excel
  • Able to navigate the internet proficiently
  • Strong communication and interpersonal skills
  • Ability to work independently within a team
  • Analytical and problem-solving skills

    Education:   

  • High school diploma with equivalent experience required
  • Associates degree preferred

Job Title: 9579262 Credentialing Representative

Location: Two College Park Drive, Hooksett, NH

Possible Start Date: 10/28/19 - 3/31/2020 (Contract to Hire Depending on Performance)

Schedule: M-F 8: 30-5

  • Accurate and expeditious verification of HealthCare Professional credentials
  • Ensure all Health plan and National Committee for Quality Assurance requirements are met
  • Knowledge of and compliance with NCQA and state specific standards
  • Assist in the testing and implementation of procedures to improve efficiency
  • Prepare Health Care Professional documentation for Credentialing Committee review
  • Ability to exceed quality and production metrics
  • Maintain provider profiling system
  • Communicate via verbal and written means with providers and matrix partners
  • This is not a call center environment, but does require communication with Health Care Professionals

Skills:   

  • Able to handle multiple priorities and be accountable
  • Excellent organizational and time management skills
  • Computer literate in Microsoft Office, Access, and Excel
  • Able to navigate the internet proficiently
  • Strong communication and interpersonal skills
  • Ability to work independently within a team
  • Analytical and problem-solving skills

    Education:   

  • High school diploma with equivalent experience required
  • Associates degree preferred

Recommended skills

Time Management
Complex Problem Solving
Interpersonal Skills
Microsoft Access
Scheduling
Testing

Location

CareerBuilder Estimated Salary What is the Careerbuilder Estimated Salary? Only about 20% of the jobs in our search results contain salary information. When a job posting doesn’t include a salary, we estimate it by looking at similar jobs in the same industry in that location. It is not necessarily endorsed by the employer and actual compensation may vary based on your experience.

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What is the Careerbuilder Estimated Salary?

Only about 20% of the jobs in our search results contain salary information. When a job posting doesn’t include a salary, we estimate it by looking at similar jobs in the same industry in that location. It is not necessarily endorsed by the employer and actual compensation may vary based on your experience.
This estimation is based on Job title, Industry, Location and Skills
$80,310
Avg. Yearly Salary

Career Path

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Credentialing Representative
$80,310.00 (Careerbuilder est.)
Estimated Salary: $70K
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