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Provider Credentialing Coordinator

Honolulu, HI 96813

Posted: 12/27/2018 Employment Type: Temp-to-Hire Job Category: Admin/Clerical, Medical Job Number: 16950

Bishop & Co. is seeking candidates for a Provider Credentialing Coordinator position in the Honolulu area.

Provider Credentialing Coordinator #16950

 

Summary: Provides administrative support to departments  involved in the credentialing process.

 

Job Duties: 
  • Attention to details for data entry and review of documents to ensure participating providers are credentialed within company timelines
  • Responsible for quality management of provider credentialing files, primary source verification, ongoing monitoring of provider licenses, and investigation of adverse incidents
  • Identifies specific questions, problems or concerns using clarifying questions and research of files when contact is initiated by a customer
  • Coordinates, monitors and evaluates credentialing verification work performed by others and including outside contractors in accordance with standards and company policies
  • Responds and follows-up to inquiries in a timely and professional manner
  • Must comply with company and departmental policies and procedures and perform other duties as assigned
  • Presents all information in a manner that represents the company and its products favorably

Qualifications:
  • High school diploma or general education degree (GED) required
  • Education in a healthcare or business-related field plus two years of administrative work experience
  • Excellent customer service, organizational, time management, and verbal and written communication skills
  • Ability to work independently and in a team environment
  • Intermediate-level proficiency in Microsoft Word, Excel, and Outlook
  • Experience or knowledge in provider credentialing, URAC’ s Health Network accreditation, primary source verification, or credentialing software/databases (particularly CAQH ProView and CertiFACTS) is preferred
  • Experience with investigating provider disciplinary action and conducting quality audits, and the ability to lead external meetings are preferred

 


Bishop & Company provides recruiting and placement services for client companies and job seekers for opportunities throughout Hawaii, with emphasis on executive search, direct hire, temp to hire, and temporary/contract staffing. We charge no fees to our placed candidates and our temporary/contract employees. Our client services are 100% guaranteed.

Please forward resumes to:
Bishop & Company
(or Email: jobs@bishopco.net)

Phone: 808-839-2200
Fax: 808-839-4844
Website:  http://www.bishopco.net/

 

*** No relocation, In-state applicants only. Must be available to interview immediately. ***

Location: Honolulu, HI

EEO/AA/DISABLED/VETS

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