Department: Credentialing

Position Summary:
Conducts verification of and processes credentialing and recredentialing applications of providers and organizational facilities in accordance with MVP Policies, NCQA standards and other regulatory agencies. Performs verbal, written, and on line verification of provider credentials. Prepares files for presentation to the Credentials Committee. Provides excellent customer service via written and verbal contact with providers, medical directors and verification sources. Meets position productivity, timeliness and quality goals. Performs other duties as assigned.

Requirements:

• High School Diploma or GED required. College degree or relevant training in a business school/health care setting preferred.
• Previous office experience with experience navigating through multiple computer programs a must. Previous health insurance and/or credentialing experience desired.
• Strong interpersonal, communication and organizational skills. Ability to work independently, ability to handle multiple tasks at one time, ability to meet deadlines.
• Strict attention to detail required. Ability to meet and maintain required departmental quality and quantity standards, ability to monitor and follow up on outstanding items identified.
• Ability to work additional hours as needed. Ability to sit at a workstation for extended periods. Occasional ability to lift, carry and put away parcels up to 10 pounds.
• Ability to use Microsoft office programs and data entry experience is required. Cactus Software experience preferred. Demonstrated working knowledge of medical terminology is preferred.

Status: Full Time

Type: Non-exempt

In order to be considered for this position, please apply online. Questions? Please Contact: