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Credentialing Coordinator 9/14/2016

Superior Group Doral, FL

Company
Superior Group
Job Classification
Full Time
Company Ref #
378460
AJE Ref #
576168275
Location
Doral, FL
Job Type
Regular
Education
High School Diploma or GED

JOB DESCRIPTION

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Superior group is looking for a Credentialing Coordinator for our client located in Doral, FL


The Credentialing Coordinator is responsible for processing and completing the credentialing and recredentialing functions of all providers in accordance with NCQA, state, and federal requirements.
Validates completeness of provider applications prior to processing.
Conducts primary source verification for all credentialing and recredentialing applications.
Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe.
Accurately enters all critical data elements of provider applications into Credentialing system.
Responds to phone inquiries received into the Credentialing phone queue from internal and external clients.
Completes projects as assigned.
Intermediate knowledge of PC applications, including Microsoft Office.
Strong verbal and written communication skills.
Strong organizational skills needed.
Ability to perform in a metrics-driven environment

Required Skills / Qualifications:

Minimum of 4 years’ experience in prior provider credentialing
High School/GED


Preferred Skills / Qualifications:

Associate’s Degree with 2 years of experience.
Bachelor’s Degree with1 years of experience.




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