Credentialing Specialist Job at Elevait Solutions, Philadelphia, PA

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  • Elevait Solutions
  • Philadelphia, PA

Job Description

Job Title: Credentialing Specialist

Location: Philadelphia PA

Duration: 3+ Months

Job Type: Contract

Note : Top 3 Keywords: 1. Credentialing 2. Primary Source Verification 3. NCQA Requirements

Top Required Skills:

  • Primary source verification
  • Data entry accuracy
  • Organizational & documentation management

Must-Have Skills:

  • Intermediate knowledge of Microsoft Office
  • Strong verbal and written communication skills
  • Strong organizational skills
  • Ability to work in a metrics-driven environment

Nice-to-Have Skills:

  • Experience with credentialing systems
  • Familiarity with NCQA, state, and federal credentialing requirements
  • Customer service or call-queue support experience

Key Responsibilities & Duties:

  • Validate completeness of provider applications before processing
  • Conduct primary source verification for credentialing and re-credentialing
  • Monitor and track site visits to ensure timely completion
  • Accurately enter all necessary provider data into the credentialing system
  • Respond to phone inquiries from internal and external clients
  • Complete assigned projects as needed

Requirements:

  • Associate's Degree (required)
  • Bachelor's Degree (preferred)
  • Ability to manage multiple tasks with strong attention to detail
  • Ability to operate effectively in a structured, metric-driven environment

Job Tags

Contract work, Work at office,

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