SUMMARY OF RESPONSIBILITY:
The Credentialing Specialist reports to the Credentialing Team Lead and is responsible for collecting and verifying sensitive provider data through confidential sources and maintains credentialing database.
Essential Functions:
Complete complex credentialing forms accurately and complies requested information for packets.
Enters and tracks information into databases.
Communicate positively with customers and companies to maintain customer loyalty
Organizes and maintains file system and files correspondence and other records.
Reads and routes incoming mail. Locates and attaches appropriate file to correspondence to be answered by employer.
Makes copies/scans correspondence or other printed materials
Prepares outgoing mail and correspondence, including e-mail and faxes to meet department deadlines.
Adheres to the policies and procedures of USM
QUALIFICATIONS AND COMPETENCIES:
Exemplary attention to detail
Ability to multi task and work independently
Possess excellent computer and communication skills
REQUIRED CREDENTIALS & TRAINING/EDUCATION
Associate’s Degree or equivalent from a two-year college or technical school; or two to three years of related work experience and/or training or equivalent combination of education and experience
Experience in Credentialing, Insurance or Insurance knowledge and background is a plus
