The Credentialing Specialist will perform provider Initial Credentialing, Recredentialing and/or Ongoing Monitoring including, but not limited to provider calls, primary source verifications, analysis, and independent evaluation that meets Priority Health policy and procedures, criteria, state, NCQA Accreditation and CMS standards.
Savvy internet skills are required in order to perform online verifications.
Accurate provider data entry and document storage into Priority Health systems is required.
Microsoft Office experience required.
In addition, the Credentialing Specialist will work on other provider data management and credentialing projects as assigned.
Excellent communication and time management skills are a must in order to meet tight deadlines and productivity goals
Regards,
Monil Patel
Technical Recruiter
Integrated Resources, Inc
(732) 844-8747 Ext.338
monil @irionline.com
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.