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  • Credentialing Coordinator

    Job ID
    83430
    Location
    US-TX-Plano
    Experience (Years)
    1
    Category
    Professional/Management - Health Information / Credentialing
    Street Address
    3820 American Drive Suite 340
    Company
    Physiotherapy Associates
    Position Type
    Full Time-Regular
  • Overview

    Great opportunity for an individual with superior communication skills and strong attention to detail.

    Responsibilities

    Conducts credentialing and re-credentialing in compliance with NCQA and HIPAA standards for internal and external clinicians. Research and obtain verifications of practitioner’s credentials to complete internal and external credentialing requirements. Work to resolve credentialing issues with health plans, providers and billing offices.

    Qualifications

    • General knowledge of credentialing processes, terminology and NCQA standards.
    • Excellent communication skills required.
    • Strong analytical skills, including process improvement and problem resolution.
    • Must be detail-oriented with good organizational skills and able to maintain accuracy while meeting deadlines and production requirements.
    • Excellent interpersonal skills and commitment to quality improvement.
    • Proficient computer skills.
    • Position requires a High school diploma or general education degree (GED); or equivalent combination of education and experience.