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Credentialing Coordinator

Alicare Medical Management Salem Part-Time
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The Credentialing will maintain all regulatory licensure review and maintain staff compliance. This includes running each employee through the appropriate verification sites and maintain paper validation electronically. It also maintains the credentialing database by line of business.  

  • Maintain AMA credentialing system up to date to enable utilization of verification of licensure
  • Maintain up to date licensure for all of the employees; including verification of active licensure, reporting to the employee and their supervisor if it is noted expired
  • Maintain electronic file for each employee/consultant of their license and their status
  • Running monthly OIG and LEIE upon hire and monthly for all staff (employees and consultants)
  • Maintain OIG and LEIE documentation back up to ensure the monthly review was conducted
  • Ensuring high client satisfaction through managing day to day account services and acting as a trusted resource for timely and accurate issue resolution, quarterly status meetings, attendance and participation at Trustee/fund/group meetings as required
  • Presenting and sending out quarterly and annual reports to our clients
  • Establishing and maintaining strong internal matrix relationships with Sales, Operations,Implementation, Eligibility, Billing and other areas
  • Coordinate the activities of the implementation manager and sales executive in the installation of a new employee
  • Day to day communication with management and operations for problem resolution
  • Secondarily act as an account manager conducting Satisfaction surveys.

 

  • 2-4 year college degree
  • 3 or more years with related medical management services
  • Ability to build long term relationships with brokers, consultants, Fund Trustees and Administrators
  • Ability to manage others
  • Strong presentation skills
  • Knowledge of Client database abilities
  • Strong negotiation skills
  • Excellent communication skills (written and verbal)
  • Ability to work independently
  • Excellent Organizational skills
  • Has initiative and is “hands on” with our client base
  • Familiarity with multiple software and system-based applications such as Microsoft Office database and spreadsheets (Excel, Access, sales tracking systems).

Recommended skills

Microsoft Access
Management
Complex Problem Solving
Trustworthy
Microsoft Excel
Operations
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