Full-time Email Us Contracting/credentialing Specialist

at Friendlysoft Technology, Inc. (Anywhere)

* This job post is already expired.


Job Responsibilities:
1. Compiles and maintains current and accurate data for all providers.
2. Completes provider credentialing and re-credentialing applications, monitors applications, and followsup as needed.
3. Maintains copies of current state licenses, certificates, malpractice coverage, and, any other required supporting documents for all providers.
4. Maintains corporate provider contract files.
5. Maintains knowledge of current health plan and agency requirements for credentialing providers.
6. Sets up and maintains provider information in online credentialing databases and systems.
7. Tracks license, certification, contract, and liability expiration dates for all providers to ensure timelyrenewals.
8. Ensures that demographic data are current with all health plans, agencies and other entities.
9. Reviews payer contracts, compares them side-by-side, and presents the data accordingly.Communication with different departments in the company and other inter related IT and business operation areas




Qualifications:
College graduate (allied medical degree graduates preferred)
Experience in working for health insurance companies an advantage but not required.
At least 40 words per minute


Skills (Optional not required)
1. Knowledge and understanding of the credentialing process.
2. Ability to organize and prioritize work, and manage multiple priorities.
3. Excellent verbal and written communication skills.
4. Excellent attention to detail.
5. Ability to research and analyze data.
6. Ability to work independently with minimal supervision.
7. Ability to establish and maintain effective working relationships with providers, management, staff, contacts outside the organization.
8. Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.

Work time requirements:
Monday to Friday, 8:30 pm to 5:30 am

Please send your resume at careers@friendlysofttech.com


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Published at Apr 07, 2015
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