WON, LLC Hiring for Credentialing Specialist at Dallas, TX Full Time

Immediate need for credentialing specialist. Responsible for processing provider credentialing applications based upon federal, state, accreditation, and client requirements.

• Reviews practitioner applications and accompanying documents, ensuring applicant eligibility

• Performs all appropriate primary source verifications of all components of the application file.

• Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.

• Prepares credentials file for completion within the time periods specified.

• Interfaces with internal and external customers on day-to-day credentialing issues as they arise.

• Utilizes and processes files through the credentialing database

• Performs miscellaneous job-related duties as assigned

Must possess the following competencies:

• Ability to communicate effectively, both orally and in writing

• Ability to manage a large volume, fast paced environment

• Knowledge of medical credentialing and privileging procedures and standards

• Strong self-discipline and motivation to work in a virtual environment

• Strong time management skills

• Database management skills including querying, ing, and document generation

• Working knowledge of Microsoft office and general database knowledge