Credentialing Representative

Ewings Associates

Pine Bluff,AR


Reference # :19-00096Title :Credentialing RepresentativeLocation :Pine Bluff, ARPosition Type :ContractExperience Level :Start Date / End Date :03/04/2019 / 12/20/2019 DescriptionEWINGS is in search of Credentialing Representatives professionals for a 10-12 monthtelecommute assignment supporting our client Optum in their efforts to build provider networks across 38 states for the Department of Veteran Affairs. Assignments are starting soon. Candidates must be available to workfull time hours. Please apply for this position atwww.ewingsinc.comEWINGS, INC. www.ewingsinc.comPrimary responsibilities: + Process provider applications including mailing, reviewing against established criteria, primary source verifications, and loading into the SharePoint and database tracking systems + Notify providers of the credentialing review process outcomes, including options for reconsideration + Provide credentialing support and subject matter expertise to internal operations teams including but not limited to contracting, demographics and loading teams + Perform outreach via phone, fax and e-mail to obtain missing information needed to complete provider credentialing files. This may require professional communication with providers, office managers, state agencies, academic institutions and other resources as applicable to the provider + Other duties, as assigned. Required Qualifications: + High School Diploma/GED + 2+ years of experience with Microsoft Word and Excel, with the ability to create, edit, search, sort, save and send documents and spreadsheets + 2+ years of experience with Adobe Acrobat, with the ability to edit, merge and convert documents + Experience in researching and applying government regulatory information + Experience working with compliance workflows and processes

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