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Credentialing Specialist

Grand Rapids, Michigan 49525

Job ID: 9237 Category: Professional

Job Description

  • The Credentialing Specialist will perform provider Initial Credentialing, Recredentialing and/or Ongoing Monitoring including, but not limited to provider calls, primary source verifications, analysis, and independent evaluation that meets our Client’s policy and procedures, criteria, state, NCQA Accreditation and CMS standards.
  • Savvy internet skills are required in order to perform online verifications.
  • Accurate provider data entry and document storage into our Cliaent’s systems is required.
  • Microsoft Office experience required.
  • In addition, the Credentialing Specialist will work on other provider data management and credentialing projects as assigned.
  • Excellent communication and time management skills are a must in order to meet tight deadlines and productivity goals
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