Temporary Credentialing Coordinator I

Claritev•New York, NY

10h

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Requirements

High School Diploma; Associates Degree or better preferred
2-3 years experience with database functions (maintenance and manipulation of data)
Required licensures, professional certifications, and/or Board certifications as applicable
Communication (written, verbal and listening) and problem solving skills
Service oriented, flexible and ability to work under pressure
Ability to work independently, effectively and well in both individual and team environments
Ability to use software, hardware and peripherals related to job responsibilities including MS Office Suites, Microsoft Word and Excel, etc.

Responsibilities

Performs queries in credentialing systems to assess the accuracy of credentials verifications
Reviews reports and provider applications against credentialing criteria
Reviews issues/problems with practitioner files and determines the appropriate course of action.
Researches and verifies postgraduate training for non-board-certified providers via mail, internet, phone or fax. Evaluates postgraduate training for non-board-certified providers against criteria
Evaluates postgraduate training for non-board-certified providers against criteria
Documents and updates provider systems with resolution and/or status of provider issues
Prepares files for Credentials Committee review
Contacts provider offices and institutions to obtain additional information via phone, fax, internet and mail
Participates on special projects as needed
Performs all other duties and responsibilities deemed necessary.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate commitment to the Company’s core values.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.