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Credentialing Specialist - Part Time

Company: Nationwide Vision
Location: Mesa
Posted on: June 6, 2021

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

  • Strong Computer Skills
  • Skilled in Multi-tasking
  • Ability to Stay Self-Motivated
  • Ability to work independently
  • Pays Close attention to detail
  • Works well under pressure/short deadlines
  • Strong work Ethic and positive attitude
  • Ability to follow written directions

(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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