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Credentialing Specialist I
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Full-time
- City/StateRichmond, VAOverviewWork ShiftFirst (Days) (United States of America)Job SummaryUnder the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist I is responsible for administrative duties required during the Credentialing and Re-credentialing processes for a managed care organization, adhering to the National Committee for Quality Assurance (NCQA), State and Federal regulations.
- They review documentation and data enter specialized information into a centralized credentialing software platform and workflow management system for facility, ancillary, medical and behavioral health providers in a timely, efficient manner.
- Minimum of 1 year of related experience in one or more of the following areas, managed care or medical staff office credentialing, medical office credentialing or general office work.
- Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
- Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information.
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