Credentialing Representative

  • Location

    Hooksett, United States

  • Sector:

    Other Area(s)

  • Job type:


  • Contact:

    Leric Arcigal

  • Job ref:


  • Published:

    12 months ago

  • Expiry date:


Accurate and expeditious verification of HealthCare Professional credentials Ensure all Health plan and National Committee for Quality Assurance requirements are met Knowledge of and compliance with NCQA and state specific standards Assist in the testing and implementation of procedures to improve efficiency Prepare Health Care Professional documentation for Credentialing Committee review Ability to exceed quality and production metrics Maintain provider profiling system Communicate via verbal and written means with providers and matrix partners This is not a call center environment, but does require communication with Health Care Professionals