Managed Care Licensing and Credentialing Liaison

Our Credentialing Support Specialist will be responsible to complete, submit and track credentialing data while demonstrating high attention to detail and accuracy with emphasis on timeliness. We are looking for a full-time specialist in our Lexington, South Carolina office.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

· Complies and maintains current and accurate data for assigned providers.

· Maintains credentialing and re-credentialing documents. To include health plan secure portal access and validate provider profiles/demographics.

· Prepares credentialing and licensing applications and gathers supporting documents.

· Develops and maintains spreadsheets for monitoring as directed.

· Maintains organizational notifications on a variety of managed care credentialing and licensing. To include relocations/openings/closures for organization.

· Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.

· Maintains internal processes to ensure that information is available to appropriate users.

· Assembles credentialing and re-credentialing packets in a neat and orderly fashion.

· Maintains a HIPAA compliant environment.

· Supports and maintains a positive team environment at all times.

· Exhibits exemplary customer service to both internal and external customers of the organization.

· Contributes to team effort by accomplishing related tasks as requested.

MINIMUM JOB REQUIREMENTS

· High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.

· Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

· Advanced computer knowledge, specifically as it relates to Microsoft Office (Word, Excel., etc.) Internet and Browsers required.

· Advanced data entry skills required.

· Excellent organizational skills required.

· Excellent oral and written communication skills required.

Job Type: Full-time

Pay: $13.00 - $16.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you currently reside in the greater Columbia, SC, area?
• Have you completed degree(s) from an accredited institution that are above the minimum education requirement, may be substitute for experience on a year for year basis?
• Are you willing to undergo background checks, in accordance with local laws and regulations?

Education:

• High school or equivalent (Required)

Ability to Relocate:

• Lexington, SC: Relocate before starting work (Required)

Work Location: On the road