Credentialing Coordinator
DataStaff is in immediate need of a Credentialing Coordinator for one of our direct clients in the Virginia area for a contract opportunity.
NOTE: This is a remote position.
It requires you to have a professional, quiet workspace, free from distractions with high-speed internet capability.
Responsibilities:
- Process applications and initial as well as re-credentialing paperwork.
- Maintain knowledge of current health plan requirements for credentialing providers including managing delegated health plans.
- Complete provider credentialing and recredentialing applications in accordance with guidelines; monitor applications and follow up as
- needed.
- Set up and maintain provider information in online credentialing databases and system.
- Collect credentials of incoming providers as per work instructions.
- Perform primary source verifications of all practitioner credentials.
- Perform data enter into various systems used to credential and re-credential staff.
- Maintain necessary logs, lists, records, and current documentation required for provider credentialing.
- Provide regular reports on pending staff and those who have cleared credentialing.
Required Skills:
- 2 years administrative experience, and at least 1 year of customer service experience.
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
- Strong data entry and telephone skills preferred.
- Previous experience in claims review or claims auditor preferred.
- Previous experience in customer service and call center preferred.
This position is available as a W2 position with a competitive benefits package. DataStaff, Inc. offers medical, dental, and vision coverage options. As many of our opportunities are long-term, we also have a 401k program available for employees after 6 months.