Credentialing Specialist at Ohm Systems

Duties The Credentialing Specialist is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA state and federal requirements. Principal Accountabilities: Validates completeness of provider applications before processing. Conducts primary source verification for all credentialing and re-credentialing applications. Monitors the progress and completion of all site visits by the provider network team to ensure completion within the established timeframe. Accurately enters all critical data elements of provider applications into the Credentialing system. Respond to phone inquiries received in the Credentialing phone queue from internal and external clients. Completes projects as assigned. Skills: Intermediate knowledge of PC applications including Microsoft Office. Strong verbal and written communication skills. Strong organizational skills are required. Ability to perform in a metrics-driven environment.. Education Associates Degree Bachelors Degree Key Skills Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS Employment Type : Full Time Experience: years Vacancy: 1