Credentialing Specialist

  • location: Scottsdale, AZ
  • type: Temporary
  • salary: $20 - $22 per hour
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job description

Credentialing Specialist

Our client in the Scottsdale Area is currently seeking a Credentialing Specialist.This position is a long term temporary opportunity with the possibility for permanent employment for the right fit.

Working hours are Monday - Friday 8:00 am - 5:00 pm.

The salary is $20.00 - 22.00 an hour.

The Credentialing Specialist is a critical team member responsible for credentialing and re-credentialing practitioners as well as ensuring enrollment with participating client health plans.

The opportunities functions include, but are not limited to, processing Credentialing Applications, performing primary source verification's and updating and maintaining credentialing database in accordance with internal policies and procedures, client health plan contracts, NCQA guidelines as well as applicable state and federal requirements.

Working hours: 8:00 AM - 5:00 PM

Up to three years credentialing experience in a health care setting to include up to two years of practitioner enrollment, credentialing or network services experience
Familiarity with practitioner billing and claims payment system requirements as related to practitioner enrollment
Exceptional critical thinking skills, sound judgment and the ability to communicate in an articulate and sensitive manner with practitioners, administrators, legal counsel and client credentialing personnel
Demonstrated ability and commitment to excellent customer service to maintain and ensure effective working relationships with internal and external clients

Certified Practitioner Credentialing Specialist (CPCS)
Experience with MD-Staff or similar practitioner credentialing, data collection and record management system
Experience with NCQA, URAC and/or The Joint Commission guidelines and standards related to credentialing
Experience with MS Office

Please join us on Wednesday between 10:00 am - 2:00 pm for our weekly Open House. Bring your resume and be prepared to interview.
Address: 3800 N. Central Ave, Phoenix AZ. We are located in front of the 3800 tower, next to US Bank. Free parking is located behind the bank.

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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