Rating Specialist is responsible for calculating insurance premiums based on rate books, calculators, and the type and amount of policy. Revises rates as necessary and maintains records and appropriate filings. Being a Rating Specialist requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Rating Specialist works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Rating Specialist typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Supports the centralized credentialing program and related tasks for Physician and Advanced Practice Professional (APP) applications. This includes overseeing, monitoring, and maintaining all activities in the credentialing process to ensure compliance with regulatory, legal and company requirements and standards.
- Requires a Bachelor's Degree in Business, Healthcare or related field. Work experience can substitute on a year for year basis for the required degree.- Require Certified Provider Credentialing Specialist (CPCS) certification; or must be eligible to sit for exam within three (3) years from date of hire.- Require one (1) year of experience in medical staff services, physician credentialing, or related experience.
- Prefer the ability to develop and maintain effective relationships with medical staff and other professionals in order to engender confidence, respect and dependability.- Prefer demonstrated organizational, written, and oral communication skills.- Prefer the ability to work at a high level of accuracy and within the required timelines.- Prefer the ability to adapt to rapidly changing priorities, remain flexible and act as a team player.- Prefer demonstrated effective organizational skills with the ability to manage multiple tasks and priorities.- Prefer demonstrated ability to problem-solve and make decisions independently yet takes direction when needed.- Prefer extensive knowledge of accreditation standards and other regulatory agencies and knowledge of verification sites and modalities.- Prefer the ability to understand legal ramifications of the process and interpret rationale for performing verification.- Prefer working knowledge of business software systems, including standard desktop office applications (Microsoft Office products) and incorporation of technology into all operational functions.
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