The Credentialing Specialist is responsible for complying with all credentialing standards for processing applications, following up on requested information, and maintaining up to date files of all information received. The Specialist accurately inputs all information requested into the credentialing information system within established departmental time frames. This position is responsible for maintaining confidentiality of files and information and may be assigned other duties necessary to maintain accurate, timely and complete credentialing files and processes..
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation. QUALIFICATIONS EDUCATION: High School Diploma required. Associate degree or Business school preferred. LICENSE/CERTIFICATION: CPCS and/or CPMSM preferred EXPERIENCE: Knowledge of computer applications required. Medical Terminology preferred. Prior credentialing experience preferred. Excellent oral and written skills required. PERFORMANCE EXPECTATIONS Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position. WORK ENVIRONMENT Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury. Physical and visual ability required to work computer terminal. The essential functions for this position are listed on the Assessment and Evaluation Tool. REPORTING RELATIONSHIP This position reports to department leadership. The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Total Rewards at AtlantiCare At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including: Generous Paid Time Off (PTO) Medical, Prescription Drug, Dental & Vision Insurance Retirement Plans with employer contributions Short-Term & Long-Term Disability Coverage Life & Accidental Death & Dismemberment Insurance Tuition Reimbursement to support your educational goals Flexible Spending Accounts (FSAs) for healthcare and dependent care Wellness Programs to help you thrive Voluntary Benefits , including Pet Insurance and more Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well-being and invests in your future....Job Description Process Specialist (Content Management) In the role of a Process Specialist, you will lead the knowledge and content management process for Call Center and Processing departments for life insurance and annuity products. This role will be responsible...
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