Job Description & Requirements
Friendlysoft Technology Inc. is hiring Credentialing Specialist.
Seeking challenge and growth while working during the morning shift ?
FriendlySoft Technology is where you belong! Our company is rapidly growing and we are seeking professional, energetic candidates who can join us on this exciting endeavor.
Compiles and maintains current and accurate data of all health providers.
Completes health provider credentialing and re-credentialing applications, monitors applications, and follow-up as needed.
Maintains copies of current state licenses, certificates, malpractice coverage, and, any other required supporting documents for all health providers.
Maintains health provider contract files.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and systems.
Tracks license, certification, contract, and liability expiration dates for all health providers to ensure timelyrenewals.
Ensures that demographic data are current with all health plans, agencies and other entities.
Reviews payer contracts, compares them side-by-side, and presents the data accordingly.Communication with different departments in the company and other inter related IT and business operation areas
College graduate (allied medical degree graduates preferred)
Experience in working for health insurance companies an advantage but not required.
At least 45 words per minute
Skills (Optional not required)
Knowledge and understanding of the credentialing process.
Ability to organize and prioritize work, and manage multiple priorities.
Excellent verbal and written communication skills.
Excellent attention to detail.
Ability to research and analyze data.
Ability to work independently with minimal supervision.
Ability to establish and maintain effective working relationships with providers, management, staff, contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and internet
How to Apply
email your resume to firstname.lastname@example.org