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Company Contact Info

  • 2 College Park Drive
    Hooksett, NH 03106
  • Kristin Franklin
  • Phone: 614-721-4188

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Credentialing Representative

Tailored Management Services Inc • Hooksett, NH

Posted 2 months ago

Job Snapshot

Full-Time
Experience - 1 years
Degree - High School
$14.00 - $17.00/Hour
Healthcare - Health Services
Customer Service

Job Description

Seeking healthcare professionals for a large, Fortune 100 health insurance firm located in Hooksett!

Responsibilities:

  • 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

Job Requirements

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
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