Credentialing Specialist Job at Elevait Solutions, Philadelphia, PA

eXZwa0tKMzI1ajNMZnNyUnBDeUxkWVhnWEE9PQ==
  • Elevait Solutions
  • Philadelphia, PA

Job Description

Job Title: Credentialing Specialist

Location: Philadelphia PA

Duration: 3+ Months

Job Type: Contract

Note : Top 3 Keywords: 1. Credentialing 2. Primary Source Verification 3. NCQA Requirements

Top Required Skills:

  • Primary source verification
  • Data entry accuracy
  • Organizational & documentation management

Must-Have Skills:

  • Intermediate knowledge of Microsoft Office
  • Strong verbal and written communication skills
  • Strong organizational skills
  • Ability to work in a metrics-driven environment

Nice-to-Have Skills:

  • Experience with credentialing systems
  • Familiarity with NCQA, state, and federal credentialing requirements
  • Customer service or call-queue support experience

Key Responsibilities & Duties:

  • Validate completeness of provider applications before processing
  • Conduct primary source verification for credentialing and re-credentialing
  • Monitor and track site visits to ensure timely completion
  • Accurately enter all necessary provider data into the credentialing system
  • Respond to phone inquiries from internal and external clients
  • Complete assigned projects as needed

Requirements:

  • Associate's Degree (required)
  • Bachelor's Degree (preferred)
  • Ability to manage multiple tasks with strong attention to detail
  • Ability to operate effectively in a structured, metric-driven environment

Job Tags

Contract work, Work at office,

Similar Jobs

Aegis Manufacturing & Engineering

Injection Molding Manager Job at Aegis Manufacturing & Engineering

 ...00-90,000 Position Summary: Aegis Worldwide is partnered with a manufacturer in the Mulberry, IN are who is seeking an injection molding manager to supervise and coordinate activities of workers engaged in maintaining and operating all equipment. Must Haves:... 

University of California, Irvine

Certified Phlebotomy Technician 1-Laboratory-Fulltime-Midshift Job at University of California, Irvine

 ...conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment *Misconduct Disclosure Requirement: As a condition of... 

AB Staffing Solutions

Flight Nurse RN - Travel Contract - Nome, AK Job at AB Staffing Solutions

 ...Flight Nurse RN - Travel Contract - Up to $2,770/wk - Nome, AK AB Staffing Solutions is seeking an experienced Flight Nurse RN for an exciting travel assignment in remote Nome, Alaska. Work alongside an exceptional team providing emergency air transport to surrounding... 

Convergent

Software Engineer Intern Job at Convergent

 ...paced, high-stakes environment. You'll work alongside experienced engineers to build real features across the stacknot busywork, but...  ...Requirements Currently pursuing a degree in Computer Science, Software Engineering, or a related field. Familiarity with modern... 

Lexicon Technologies

Facility Manager Job at Lexicon Technologies

 ...As a Facility Manager, you will be responsible for overseeing all aspects of our operations, including repair services, customer relations, team management, and business development. You will lead a dedicated team to deliver high-quality repair services while ensuring...