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Credentialing Representative (Onsite)

TBD Hooksett Contractor
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Job Title: 9427962 Credentialing Representative

Location: Two College Park Drive, Hooksett, NH 03106

Duration: 3 months (Possible Perm)

Schedule: M-f 8-5

 

  • 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: 9427962 Credentialing Representative

Location: Two College Park Drive, Hooksett, NH 03106

Duration: 3 months (Possible Perm)

Schedule: M-f 8-5

 

  • 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
Quality Assurance
Testing
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