Credentialing

TEKsystems
Lauderdale, FL Full Time
POSTED ON 7/27/2024 CLOSED ON 8/17/2024

What are the responsibilities and job description for the Credentialing position at TEKsystems?

Position Summary :

Responsible for ensuring the integrity and accuracy of provider data in all applications. In addition, expected to work collaboratively with all internal and external stakeholders in an effort to meet and / or exceed all regulatory and contractual provider data quality and accuracy standards.

Essential Duties and Responsibilities :

  • Adds new network providers, vendors, and places of service to the Epic Tapestry System.
  • Responsible for maintaining our Provider Network Verification (PNV) database daily to meet government contractual obligations.
  • Responsible for reviewing and resolving daily tasks that are tracked via tickets in our Customer Relationship Management (CRM) system.
  • Supports and maintains our Master Provider Data records in the Epic Tapestry System.
  • Updates Epic Tapestry System of all provider demographic changes daily.
  • Works with third party vendors and providers to keep our Master Provider Data up to date with timely and accurate changes.
  • Responds to operational problems and provides user support.
  • Maintains and develops workflows to ensure all updates are handled timely.
  • Maintains and develops Standard Operating Procedures (SOPs).
  • Maintains accuracy of provider data while also maintaining productivity goals.
  • Complete side-by-side and peer trainings, as necessary for educational opportunities.
  • Assists with projects and other duties, as needed.

Qualifications :

  • Associates Degree preferred or two to four years related experience and / or training; or equivalent combination of education and experience.
  • Advanced knowledge of Microsoft Office, Word, Excel, and PowerPoint.
  • Knowledge of Microsoft Access and Epic Tapestry (preferred).

Skills and Abilities :

  • Attention to detail to ensure accuracy of provider data.
  • Strong written and verbal communication skills.
  • Time management skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Ability to meet deadlines.
  • Ability to write routine reports and correspondence.
  • Ability to work independently.
  • Ability to maintain a good rapport and cooperative working relationship with the team, other departments, and external clients.
  • Ability to speak effectively before groups of customers or employees of organization.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Ability to deal with problems involving several concrete variables in standardized situations

About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Last updated : 2024-07-27

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