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Credentialing Coordinator

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POST DATE 9/14/2016
END DATE 12/21/2016

Superior Group Doral, FL

Doral, FL
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
High School Diploma or GED


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.

Go Beyond.
EEO Employer - Minorities / Females / Disabled / Veterans / Sexual Orientation / Gender Identity.