Sr. Credentialing Specialist (Glastonbury)

Altegra Health in Glastonbury, CT

  • Industry: Healthcare - Allied Health - Medical Assistant
  • Type: Full Time
position filled

JOB SUMMARY


Processes high volume credentialing and re-credentialing applications and/or enrollments of health care providers, responsible for entering, updating, maintaining NPI and any other applicable provider numbers into the system. Reviews applications, prepares verification letters and maintains database. Contacts medical office staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications.


KEY JOB RESPONSIBILITIES

Must have ability to work with mathematical concepts, health care acronyms, able to differentiate between provider titles, download the providers applications using the Internet.
Meet productivity standards as outlined in client metrics
Identify any issues or trends and bring them to the attention of management team
Work on special projects as assigned
Train other team members as assigned
Other duties as assigned

Competencies:
Excellent understanding of the credentialing process
Capable of successfully completing credentialing applications with limited supervision
Computer literate

MINIMUM JOB QUALIFICATIONS

Education / Training:
Required: Undergraduate degree or equivalent work experience


Business Experience:
3+ years work experience

SPECIALIZED KNOWLEDGE / SKILLS

3 years of hands on work within credentialing process
Organized
Detail Oriented
Ability to multi-task
Work well with others
Computer literate


WORKING CONDITIONS

Office Environment
Physical requirements include general office demands

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!


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