This position will be responsible to complete, submit and track credentialing as well as re-credentialing data. while demonstrating high attention to detail and accuracy with emphasis on timeliness. We are looking for a full-time specialist in our Lexington, South Carolina office.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
- Complies and maintains current and accurate data for assigned providers.
- Maintains credentialing and re-credentialing documents. To include health plan secure portal access and validate provider profiles/demographics.
- Prepares credentialing and licensing applications and gathers supporting documents.
- Develops and maintains spreadsheets for monitoring as directed.
- Maintains organizational notifications on a variety of managed care credentialing and licensing. To include relocations/openings/closures for organization.
- Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.
- Maintains internal processes to ensure that information is available to appropriate users.
- Assembles credentialing and re-credentialing packets in a neat and orderly fashion.
- Maintains a HIPAA compliant environment.
- Supports and maintains a positive team environment at all times.
- Exhibits exemplary customer service to both internal and external customers of the organization.
- Contributes to team effort by accomplishing related tasks as requested.
MINIMUM JOB REQUIREMENTS
- High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
- Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
- Advanced computer knowledge, specifically as it relates to Microsoft Office (Word, Excel., etc.) Internet and Browsers required.
- Advanced data entry skills required.
- Excellent organizational skills required.
- Excellent oral and written communication skills required.
- Valid Drivers License
MSA Offers Competitive Pay And Excellent Benefits:
- Generous paid time off
- Medical/Prescription, Dental & Vision Insurance and other benefits (STD, LTD, Accident & Sickness, additional life insurance, etc.)
- Company paid employee life insurance
- 401(k) retirement with a generous company match
- Opportunities for advancement
- Many other great benefits
We are an Equal Opportunity Employer
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