Responsibilities:

• Ensure new provider packets includes all required information including but not limited to cover letter, application, policies and procedures, contract, etc;
• Data Entry and review of files and forms
• Verify credentials for prospective providers and existing providers
• Prepare credentialing approval letters and monitoring of enrollment process
• Ensure enrollment process for all contracted providers and entities is maintained to include; entering information into the billing system and or database

Requirements:

• High School Diploma or General Education Degree (GED); some College preferred
• Working knowledge of various credentialing and re-validation processes
• Capable of working both independently and within a collaborative team environment
• Problem solver with good analytical skills
• High level of accountability and performance standards
• General knowledge of desktop business applications, particularly MS Word, MS Excel
• Excellent communication skills and the ability to address diverse groups of internal and external personnel
• Ability to identify and correct credentialing reporting issues via Microsoft Excel and credentialing database
• Ability to solve problems; ability to manage several projects at the same time
• Comfortable with working in database systems for reporting, transmission and enrollment of provider data