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Credentialing Coordinator
Akkodis is seeking a Credentialing Coordinator for a 2 Months Contract position with a client and position is fully remote.Pay Range: $26-$27/hr (The rate may vary based on experience, education, geographic location, and other factors.)Required Education:High School Diploma or GED required AND 3 years medical staff credentialing experience in a healthcare or insurance provider setting; OR Associates Degree and 3 years’ experience performing data collection or data analysis using complex database software systemsRequired competencies: Demonstrated software database experience (for efficient generation of letters and other correspondence, activity tracking and report production). Familiarity with legal, state, TJC and NCQA guidelines in assuring medical staff compliance with regulatory agencies.Certified Provider Credentialing Specialist (CPCS) preferredJOB DESCRIPTION:Assumes responsibility for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Ensures providers are credentialed, appointed, and privileged with delegating health plans. Maintains up-to-date data for each provider in credentialing database and online systems; ensure timely renewal of licenses and certifications. Works on routine assignments within defined parameters, established guidelines and precedents.JOB RESPONSIBILITIES:1. Reviews provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.2. Compiles and maintains current and accurate data for all providers. Audits health plan directories for current and accurate provider information and assists with payer audits3. Maintains copies of current state licenses, Drug Enforcement Agency (DEA) certificates, malpractice coverage and any other required credentialing documents for all providers.4. Sets up and maintains provider information in online credentialing databases and system.5. Tracks license and certification expirations for all providers to ensure timely renewals. Tracks license, Drug Enforcement Agency (DEA) and professional liability expirations for providers..If you are interested in this Credentialing Coordinator job, then please click APPLY NOW. For other opportunities available at Akkodis go to www.akkodis.com. If you have questions about the position, please contact Ajay Kumar at .Equal Opportunity Employer/Veterans/DisabledBenefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client.To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit https://www.akkodis.com/en/privacy-policy.The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:· The California Fair Chance Act· Los Angeles City Fair Chance Ordinance· Los Angeles County Fair Chance Ordinance for Employers· San Francisco Fair Chance Ordinance
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