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Job Openings >> Credentialing Manager
Credentialing Manager
Summary
Title:Credentialing Manager
ID:5287
Department:Administrative
Location:Merritt Island, FL
Description

Job purpose

To provide medical credentialing support for 8-koi; a diverse Florida based service and consulting company that has been providing outstanding results for our clients for over 12-years.

 

Duties and responsibilities

  • The Credentialing Coordinator will conduct all aspects of credentialing in accordance to 8-koi and third-party standards:
    • Prepare and maintain credentialing files and reports for all individual hire packages and providers including updating credentialing software data, provider rosters and spreadsheets to comply with group delegation requirements
    • Conduct all follow up steps till payor approval/completion is obtained within established time standards
    • Complete requests for re-credentialing for third-parties, providers and facilities; to include:
      • Primary Source Verifications
      • Employment Verifications
      • Reference Verifications
    • Accept and process all requests for credentialing information/updates, new hire packages and new contracts
    • Answer questions, process requests from staff/providers related to credentialing information
    • Prepare and maintain facility credentialing files and reports including maintenance of credentialing software, facility rosters and spreadsheets
    • Maintain the confidentiality, security, and physical safety of all personnel records
    • Train other/new associates
    • Ability to work in an office or remote office setting
    • Other duties as assigned
 

Qualifications

  • High school diploma or equivalent.
  • Credentialing experience for verification of licenses, DEA, Education, employment, BLS, etc. for all healthcare providers for the military and government contracts - preferred
  • Basic clerical and computer skills, as well as organizational skills.
  • Previous experience working in the medical environment and experience using an EMR system highly desirable.
  • Knowledge of medical terminology extremely helpful.
  • Excellent verbal and written communication skills, including grammar, punctuation and spelling.
  • Excellent work history that reflects longevity required (i.e. 3 employers or less in last 7 years).
  • Impeccable attendance records essential
  • Ability to multi-task and work independently, and have a sharp attention to detail
  • Excellent communication skills
  • Ability to effectively execute in a high demand environment
  • Must have excellent communication, phone etiquette, customer service and people skills, as well as be able to multitask and stay organized
  • Ability to effectively and succinctly communicate in writing and verbally
  • Ability to operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems and personal computers

 

Working conditions

 

Working conditions are within a normal office or remote office environment.

 

Physical requirements

Normal office environment mobility; sitting, walking, bending, stooping, standing, lifting a maximum of 25 pounds (greater than 25 pounds requires a two-person lift), turning, pushing.  Normal office dexterity, to include; reaching, handling, grasping, to include typing/keyboard, and phone use. 

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