zolon tech Hiring for Provider Credentialing at Remote Full Time

SCOPE DATA:
Accountable for the maintenance of the on-line and hardcopy files of over 35,000 providers participating in the Client networks, including credentials, contracting status and practice information. Failure to efficiently process provider information/applications update and maintain the files would result in inaccurate benefits applications for members, incorrect payment to providers, inaccurate data regarding provider networks, inaccurate provider directories and non-compliance with NCQA, federal and state regulations.

QUALIFICATION REQUIREMENTS:
Credentialing or Provider file maintance experience
Analytical Skills to research and analyze data
High school diploma with 2 years of college or commensurate work experience.
3-5 years direct experience with provider contracting, credentialing or network management.
Knowledge of medical terminology
Strong service skills and possess ability to remain calm in stressful situations with medical professionals.
Experience working on a diverse team and collaborating on common issues
Demonstrated success in handling large volumes of work

ABILITIES/SKILLS:
Effective verbal and written communication skills
Ability to work as a member of a team
Familiarity with PC and mainframe applications
Ability to organize, prioritize, and accomplish tasks within established timeframes
Ability to prioritize multiple tasks and remain focused
Demonstrated proficiency utilizing reference materials.

Job Types: Full-time, Contract

Salary: $20.00 – $24.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Provider file maintenance: 3 years (Preferred)
• provider contracting: 3 years (Required)
• credentialing: 3 years (Required)

Work Location: Remote

Speak with the employer
+91 +15714537488