Offer summary
Qualifications:
High school diploma/GED required, Completion of two or more years of college preferred, 2+ years experience in health insurance-related settings, Knowledge of CMS Medicare, Medicaid requirements, Experience with NCQA Standards preferred.
Key responsabilities:
- Screen practitioner applications for eligibility
- Process initial credentialing and re-credentialing
- Maintain internal and external databases
- Assist with credentialing inquiries and troubleshooting
- Participate in group leadership meetings