。该工作已被公司管理人员暂停申请，不再接受简历投递

Credentialing Associate

Meds Nexus (Private Limited)

多个城市，巴基斯坦

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发布 Aug 06, 2022 247 查看

Meds Nexus is looking for an experienced Credentialing Associate.

What You'll Do:

Credentialing Associate maintains regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. Initiate and support the practitioner application process by sending, receiving, and analyzing practitioner documents and data import to determine completeness in preparation for the credentials verification process
Responsible for gathering, verifying, and evaluating highly confidential and sensitive health care practitioner credentials consistent with departmental guidelines and accreditation standards.
Efficiently perform all aspects of credentialing verification, including initial credentialing and re-credentialing to ensure current credentials and timely handoff and/or review and approval of practitioner files
• Respond to all practitioner, client health plan, and internal inquiries promptly
Monitor expiring licensure, board, and professional certifications, and other applicable documents with practitioners within the prescribed timeframe
Maintain practitioner paper and electronic data files for CAQH to submit practitioner data as required to credential individual practitioners
Responsible for accurate data entry to ensure the integrity of credentialing information in the applicable database
Collaborate with participating clients, department managers, and/or external agencies to facilitate and ensure smooth hand-off during the credentialing process
Use critical thinking skills to conduct follow-ups with individual practitioners and internal and external entities to resolve discrepancies identified during the credentialing process
Share responsibility for reviewing, processing, and distributing incoming correspondence (i.e., interdepartmental mail, fax, and email)

What we’re looking for:

Knowledge of medical credentialing and privileging procedures and standards
Excellent verbal and written communication skills
Proficient in Microsoft Office Word and Excel
Ability to focus for extended periods of 6 months to 1-year before experience in Credentialing

Meds Nexus provides a great career path and our employees are compensated with competitive compensation commensurate with their experience, please let us know if you are in the market to work as a Credentialing Associate. We prefer prospects seeking full-time employment.

Job Rewards and Benefits: