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Provider Enrollment / Credentialing (Medicaid)

Job Description - Provider Enrollment / Credentialing (Medicaid)


  • Continual development to be an expert with knowledge of respective clients Credentialing specialties.

  • Report any system downtime to respective Supervisors and manage the work in such situations.

  • persuasively; provides clarification; responds well to questions; participates in and contributes to meetings.

  • Follows policies and procedures; Completes tasks correctly and on time; Supports organization's goals and values.

  • Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Willing to put in the necessary time to accomplish goals.

  • Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

  • Provide trend analysis of issues and solutions to the Supervisors.

  • Ensure complete adherence to TAT and SLAs as defined by the client.

  • Maintain patient confidentiality and strict adherence to HIPAA.

  • Attending meetings and training to enhance Credentialing knowledge.

  • Ability to manage the day-to-day activities.

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