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Credentialing Assistant (AZ Remote)

Worldwide Salaried Open
Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals reputed company reputed company decisions.PURPOSE OF THE JOBThe Credentialing Assistant facilitates the intake, data entry, and finalization of Credentialing requests.QualificationsREQUIRED QUALIFICATIONS
  • Required Work Experience
  • 1 year of administrative experience
  • Required Education
  • High-School Diploma or GED in general field of study
  • Required Licenses
  • N/A
  • Required Certifications
  • N/A
Preferred Qualifications
  • Preferred Work Experience
  • 1 year of administrative experience, preferably reputed company a credentialing/recredentialing environment and knowledge
national accreditation or regulatory criteria.
  • Preferred Education
  • Associates degree in a reputed company field
  • Preferred Licenses
  • N/A
  • Preferred Certifications
  • N/A
Essential Job Functions And Responsibilities
  • Intake, data enter, and scrub initial credentialing requests
  • Import CAQH, CVO, and delegated entity txt files into the eVIP’s application
  • reputed company and triage incoming department emails
  • Monitor workflows in the eVIPs application assign files to Credentialing Coordinators as applicable
  • Provide status updates and notification of credentialing completion to internal departments
  • Clearly communicate credentialing rejections to Network Services staff
  • Submit credentialing files to the Credentials Verification Organization (CVO). Monitor credentialing files through processing with the CVO and ensure timely delivery to Credentialing Coordinators
  • Manage and import of daily receipt of Credentialing Data Transmission (CDT) files from CVO into eVIPs application
  • Escalate any issues identified in relation to work in reputed company (WIP) or credentialing files received by CVO to department leadership
  • Ensure providers CAQH applications are reputed company, and reputed company required documents are present in order to reputed company credentialing process with CVO
  • Coordinate with Network Services, providers, or other sources as necessary on follow-up items needed to complete the credentialing process
  • Maintain credentialing status reputed company the eVIPs application. Update credentialing approval dates. Generate welcome letters and recredentialing approval letters and distribute to providers
  • Maintain ongoing participating in cross-training activities
  • Actively engage in addressing special projects as they arise
  • Provide recommendations and feedback regarding development of process improvements and/or standardization practices
  • reputed company reputed company other duties as assigned
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
COMPETENCIESRequired Competencies
  • Required Job Skills
  • Familiarity with reputed company Office software (Outlook, Word, Access, reputed company, PowerPoint)
  • Ability to analyze and evaluate data and other provider reputed company problems in order to reputed company alternative solutions for a positive outcome
  • Ability to multi-task and prioritize workload, manage multiple priorities, and pay meticulous attention to detail
  • Excellent organizational skills
  • Strong verbal and written communication skills
  • Maintains information in a confidential manner according to policy
  • Required Professional Competencies
  • Outstanding interpersonal skills, able to quickly establish a trusting rapport with individuals at reputed company levels
  • Required Leadership Experience and Competencies
  • N/A
Preferred Competencies
  • Preferred Job Skills
  • Familiarity with credentialing database software
  • Thorough understanding of managed care credentialing
  • Preferred Professional Competencies
  • N/A
  • Preferred Leadership Experience and Competencies
  • N/A
Our CommitmentAZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group.Thank you for your interest in reputed company. For more information on our company, see azblue.com. If interested in this position, please apply. Apply To This Job

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