Dental Credentialing Support Rep -Remote – TEMP

Published
October 1, 2021
Location
Houston, TX
Category
Job Type

Description

The Credentialing Representative obtains and reviews documentation to determine status in a health plan. The Credentialing Representative performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
 
Responsibilities

  • The Credentialing Representative reviews the Provider applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence.
  • Make outbound calls and take inbound calls from Providers
  • Reviews the information and documentation collected, as well as verification that the information is accurate and complete.
  • Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.

 
Basic Qualifications

  • 1 year of job experience in Credentialing, Dental, or Healthcare
  • 1 years Customer Service experience .
  • Proficiency in all Microsoft Office applications, including Word and Excel
  • Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
  • Familiarity with medical terminology, credentialing and re-credentialing, and providers process
  • High School Diploma or GED
  • Designated quiet area to complete calls while working from home
  • Must have Internet speed of 25mbps or higher
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