Credentialing Specialist

Job Description

Pay: $15.00 per hour

Job Duties

• Ensure required provider data is accurate prior to committee review.
• Audit, monitor and report data needed to perform defined credentialing activities for regulatory agencies and internal policies and procedures.
• Ensure required documentation for network participation is collected and current at the time of committee determination.
• Ensure approved providers are loaded timely for network participation.

Job Requirements

• Years of experience (minimum/maximum): 3 years of related experience
• Required education: High School
• 9 months credentialing, provider services production or customer service experience
• PC experience to include Windows, Word, Excel, and business databases
• Strong verbal and written communication skills
• Organizational skills and decision-making ability
• Ability to multi-task

Preferred Job Requirements

• Access experience
• Knowledge and understanding of NCQA/MCO/CVO guidelines and requirements
• Knowledge of RNPS and PIP or similar provider databases

This position is recruited for by a remote Kelly office, not your local Kelly branch. To be considered for this position, you must submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position at View email address on click.appcast.io. COM ; however your resume must be received via the “submit” resume button included within.