Assistant Credentialing Coordinator
Kforce Inc


Job Info


RESPONSIBILITIES:

Kforce has a client in search of an Assistant Credentialing Coordinator in Woodbridge, NJ. The candidate completes and processes physician and provider applications and re-applications for Company Vascular Care, using verifications from the American Medical Association (AMA), National Practitioner Database (NPDB), state medical board websites, and other documents.Responsibilities may include but are not limited to:
  • Administering the initial mailing of the applications
  • Conducting the detailed review and follow-up determining eligibility by applying Company Vascular Care, TJC, regulatory and company standards as they relate to the client
  • Uploading the pertinent information into the database application
  • Identifies, analyzes, and resolves provider file issues and changes communicating with the applicable personnel or physician as required to accomplish appropriate resolution
  • Audits files to ensure consistency and availability of all required documentation
  • Reviews provider file changes obtaining missing information as needed
  • Removes and stores obsolete files with expired and unnecessary documents and reports according to company document storage requirements
  • Monitors credentialing status and information regarding company physician providers: Ensures the applicable timelines are met regarding document renewals and initial credentialing process


REQUIREMENTS:

  • High School diploma/GED required
  • Minimum 3 years of required experience in healthcare administrative role, working with physicians and related administrative functions
  • Must be proficient with standard desktop office applications including Microsoft Office software applications
  • Must have excellent and effective verbal and written communication skills to communicate with providers and office staff
  • Must perform work at a high level of accuracy and within the required timelines
  • Must have good organizational skills with the ability to manage multiple tasks and prioritize
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.



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