How will this role have an impact?
Provides administrative support to Credentialing Coordinators and Credentialing Manager relating to credentialing of Signify Health clinicians. Assist with initial and re-credentialing applications, ongoing monitoring of clinicians and other credentialing duties.
This role will report to our Credentialing Database Manager.
What will you do?
- Perform license verification’s for providers.
- Establishes and maintains a system for timely processing of credentialing/re-credentialing files in accordance with NCQA policies.
- Obtains all relevant documents and ensure that the applicant completes his/her application within the specified time period.
- Review applications for accuracy and completeness.
- Save provider contracts, CMS Training and payroll information.
- Effective data entry of documentation from initial and re-credentialing applications.
- Order provider background screenings.
- Assist the Recruiting Department with gathering information.
- Speak to providers via phone calls using appropriate telephone etiquette.
- Email providers using professional email etiquette.
- Monitor and send re-credentialing notifications.
- Update information regarding resigned providers.
- Assist providers through the CAQH ProView application system.
- Become familiar with accreditation standards.
- Verify providers’ requirements for approval to work in specific states and plans.
- Assist with special projects.
- Provides administrative support to supervisors.
We are looking for someone with:
- 3-5 years of successful work experience in an office environment
- Good verbal and written communication skills.
- Basic skills in MS Office
- Accurate data entry skills
About Us:
Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals’ clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we’re able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.
Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify’s intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.
To learn more about how we’re driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com.
Source: Indeed.com
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