Credentialing Specialist - Part Time
Company: Nationwide Vision
Location: Mesa
Posted on: June 6, 2021
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Job Description:
Nationwide Vision is seeking a part-time Credentialing
Specialist. The Credentialing Specialist is
responsible for following the NCQA guidelines. This candidate must
be extremely motivated,
organized, and proficient in Word and Excel.
Essential Duties and Responsibilities include the
following. Other duties may be assigned.
Completes provider credentialing for independent providers.
? Maintains credentialing database.
? Checks OIG, Sam's, and licensing websites monthly.
? Reviews, verifies licenses, insurance, education, and work
history.
? Monitors documents that expire for providers.
? Reviews documents and pulls documents from CAQH.
? Other duties as assigned.
? Communicates with providers via e-mail, fax or telephone
regarding documents
required.
? Assist other Credentialing Specialist with credentialing and
re-credentialing.
? Reviews and enters in patient surveys into a spreadsheet.
? Creates minutes for monthly Credentialing Meeting.
? Updates provider directory.
Other Skills and Abilities
(Many of the above duties will be learned through
on-the-job training) Experience is a plus!
Qualifications
To perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill, and/or ability
required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.
Education and/or Experience:
High school diploma or general education degree (GED); or one year
related experience and/or training; or equivalent combination of
education and experience.
Computer Skills
To perform this job successfully, an individual should have
knowledge of Database software; Internet software; Order processing
systems; Payroll systems; Spreadsheet software and Word Processing
software.
Physical Requirements
While performing the duties of this job, the employee is regularly
required to talk and hear. The employee is occasionally required to
stoop, kneel, crouch or crawl. The employee must frequently lift
and/or move up to 10 pounds.
Specific vision abilities required by this job include close
vision, distance vision, color vision, peripheral vision, depth
perception and ability to adjust focus.
If you need assistance with this application, please contact (636)
227-2600
EyeCare Partners is an equal opportunity/affirmative action
employer. All applicants will be considered for employment without
attention to race, color, religion, sex, sexual orientation, gender
identity, national origin, veteran or disability status. Please do
not contact the office directly - only resumes submitted through
this website will be considered.
Keywords: Nationwide Vision, Mesa , Credentialing Specialist - Part Time, Other , Mesa, Arizona
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