Credentialing Specialist

CVS Health•Franklin, TN

13d•$17 - $28•Onsite

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Reviews analyzes, evaluates, validates provider/producer information against business/credentialing requirements and maintains information on Credentialing databases. Supports extensive research and analysis of sensitive provider/producer issues; addresses data integrity issues.

Requirements

1+ years customer service experience.
6+ months experience researching and analyzing data.
6+ months experience working with Microsoft Office applications (Word, Excel, Access) and internet resources.
Ability to work reliably, prudently, and tactfully with confidential information.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including, letters, memos, and emails.

Nice To Haves

Ability to work independently on routine tasks
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
College degree or equivalent work experience

Responsibilities

Assist with reviewing, analyzing, and validating provider/producer information to ensure it meets credentialing and business requirements
Maintain and update provider/producer records in credentialing databases with a high level of accuracy
Support research and review of provider/producer information, escalating sensitive or complex issues as needed
Help identify and correct data discrepancies to support overall data integrity and compliance
Handle confidential and sensitive information with professionalism, discretion, and care
Organize and prioritize assigned tasks to meet deadlines in a fast-paced environment
Draft and respond to basic professional correspondence, including emails and routine notices
Communicate effectively with providers, internal staff, and management under guidance and supervision
Work independently on routine tasks while seeking guidance for new or complex issues
Use Microsoft Office applications (Word, Excel, Access) and internet resources to research and maintain information
Demonstrate strong attention to detail and willingness to learn credentialing policies, procedures, and systems