What are the responsibilities and job description for the Credentialing Specialist (Part-Time) position at Tanner Clinic?
Tanner Clinic has an immediate opening for a Credentialing Specialist. Part-Time position
Location: Kaysville Business Office
Hours: Flexible; 20 hours per week
Responsibilities:
- Receive provider applications and contacts providers for any additional supporting documentation or clarification.
- Build provider credentials file and make file determinations regarding required credentialing criteria, ensuring compliance with internal policies and external regulatory agencies.
- Prepare correspondence to providers regarding status.
- Assist in researching pended and probated applications and resolving discrepancies.
Expectations for Success:
- Requires high school diploma/GED.
- Must have excellent computer skills, including word processing, spreadsheet and database management software.
- Must possess strong oral and written communication and research/problem solving skills.
- Experience/knowledge with NCQA standards is helpful.
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