GENERAL SUMMARY
Responsible for basic support of credentialing/recredentialing activities in the Credentials Verification Center (CVC). Performs detailed verification and data entry functions.
ESSENTIAL RESPONSIBILITIES
- Assists with primary source verification of practitioner, facility, and provider credentialing information.
- Processes initial credentialing applications. Activities include, but are not limited to, the review and verification of information submitted by providers by performing mail, database, and internet queries.
- Facilitates the process of recredentialing current physicians in the provider network. Activities include, but are not limited to, the review and verification of information submitted by providers by performing mail, database, and internet queries.
- Maintains accurate provider data in the provider database and other applications through accurate data entry and verification as necessary.
- Assists with updating and maintaining all active ancillary providers’ files, including verification of current licensure and accreditation status.
- Updates and maintains all active credentialing files to ensure that all information is current.
- Follows credentialing processes and procedures to improve efficiency and quality of files.
- Performs other duties as required.
Qualifications:
JOB SPECIFICATIONS
- High school degree or equivalent.
- Previous experience in a similar position preferred.
- Working knowledge of Windows, Microsoft Word, Access, Excel, and Internet inquiries.
- Good communication, organizational and interpersonal skills.
- Detail orientedCoventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Administrative Support Workers
Primary Location: Austin, TX, US
Organization: 51000 - MHNet Specialty Services, LLC
Schedule: Full-time
Job Posting: 2013-02-08 00:00:00.0
Job ID: 1310516