To gather and validate healthcare practitioner credentialing information in accordance withregulatory and accreditation standards. Provides administrative support to the CredentialingCommittee. Participates in delegated oversight activities, including ensuring reports anddocumentation are received timely and tracked. The Credentialing Specialist II handles morecomplex transactions and phone calls, additional duties such as meeting minutes, agendas, orassisting with desk procedures, and answers routine questions for Specialists I’s.
Education and Experience
High school diploma or equivalent; minimum 18 months credentialingexperience.
Special Skills, Licenses and Certifications
Strong written and oral communication skills. Advanced computerskills, including proficiency in multiple software applications includingMicrosoft Office. Strong organizational and multi-tasking skills.Excellent interpersonal and customer service skills. Detail orientedwith ability to recognize vital information. Ability to consistentlymaintain quality and production standards. Ability to use goodjudgement in making decisions and handle sensitive issues withdiplomacy and tact.
Performance Based Competencies
Ability to work in a fast paced environment with multiple competingdeadlines. Ability to function effectively with frequent interruptions.
Work Environment And Physical Demands
More than 70% of work time is spent using a computer. Ability to lift,carry, or move objects of varying size, weighing up to 25 lbs.
All HealthPlan employees are expected to:
HIRING RANGE:
$ 27.62 - $ 33.84
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
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