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Credentialing Coordinator in Jacksonville, FL at Accounting Now

Date Posted: 6/14/2018

Job Snapshot

Job Description


SNI Companies is hiring for a Provider Credentialing Coordinator. This position will assist on collecting credentials. The individual will spend a lot of time on the phone and should have good phone etiquette, attention to detail, strong computer skills including Excel. The Provider Credentialing coordinator is responsible for the background checks, applications and document follow-up.
General duties and responsibilities:

  • Maintains knowledge of current requirements for credentialing providers.
  • Prepare and/or update the provider's application for newly affiliated and existing providers.
  • Processes applications for appointment and reappointment for One Call Care management.
  • Build knowledge base for payer requirements and forms.
  • Tracks license, and professional liability expirations for appointed providers.
  • Completes provider credentialing and re-credentialing applications for escalated cases; monitors applications and follows-up as needed.
  • Ensures recredentialing timeliness meets and/or exceeds the NCQA expectations by following up in a timely manner and escalating items as designated by policy.
  • Maintains appointment files and information in credentialing.
  • Provides excellence in customer service for internal and external customers when handling communications, whether oral or written.
  • Ensure all workflow items are completed within the set turn-around-time, meeting expectations.
  • Responsible for exceptions in committee decision follow up.



Requirements:

  • An Associate's degree or other related discipline is preferred; or equivalent combination of education and experience that is required for the specific job level.
  • Excellent attention to details
  • Ability to work independently, set priorities and meet deadlines with minimal supervision
  • Strong working knowledge of word processing, spreadsheets, data entry, data base experience and other computer related skills. Experience with all Microsoft Office products.
  • Ability to communicate effectively, both orally and in writing.
  • Must be able to communicate well with a wide variety of contacts at all levels of the organization.
  • General understanding of related accreditation and certification requirements.
  • Medical credentialing and privileging procedures and standards.
  • Minimum of 1 year experience credentialing or provider relations experience.


$14-18/hour
Hours Monday- Friday 8am-8pm time frame (8 hour shifts, set schedule)