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Job Details

POSITION

CREDENTIALING COORDINATOR

Location

San Salvador

Job Type

Full Time

Experience

2 years

Salary

PREMIUM

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YOUR JOB:

Reach out to providers to gather Onboarding documents and information needed.             

 BCBA Info and Tracking

 Submit Credentialing applications

 MBH credentialing requests

Update BCBA Manage Profiles

 Andros Submission-

 Complete and Submit Rosters for Aetna, Cigna, Humana and Optum     

 Review and update Credentialing tabs/Smartsheets  

 Credentialing approvals- inform other teams and update manage           

Update CAQH accounts

Maintain Optum attestations up to date

KEY SKILLS & BEHAVIORS:

Ability to handle multiple projects at one time and work with remote and in person team members efficiently

Ability to communicate effectively through oral and written skills and work cooperatively with a variety of individuals and groups

Strong decision-making skills

Must be able to work effectively with patients and families of all ages and cultural backgrounds

Ability to maintain customer service orientation and professionalism in all interactions

Adaptability to changing situations in a calm and professional manner

Ability to handle confidential information (HIPPA compliant)

Proven to thrive in administrative environments  

Positive and encouraging in disposition    

Ability to maintain organization standards in a high paced environment

RESPONSIBILITIES & TASKS:

Assist with training and hiring of new staff into a program.

Performs other duties as required.

Must triage work effectively to prioritize deadlines/high importance tasks

Initiate and provide support to the provider’s application process by sending and receiving documents needed for the credentialing process.

Maintain individual provider files up to date with the documents needed to complete any credentialing or re-credentialing application.

Verifying the provider’s credentials are up to date, such as, licenses, certifications and Liability insurance

QUALIFICATIONS:

Minimum 2 years working in an office-based setting

Previous experience in an Credentialing/Insurance related position preferred

Proficient in Microsoft Office (Outlook, Word, Excel, etc.) and related computer software

Ability to communicate effectively

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