Job Description

**POSITION SUMMARY:** Responsible for submitting all credentialing and re-credentialing applications and attachments for all services and facilities within PruittHealth. **WORKING RELATIONSHIPS:** Directly Reports to: Director of Managed Care Contracts **ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:** - Review and process incoming and outgoing paperwork, including directory updates, provider credentialing applications, demographic changes of services and other related forms. - Provide office, project management and data analysis support. - Maintain a comprehensive database of all facilities and payers with updated information regarding credentialing and re-credentialing - Maintain a file with updated copies of all documents required for credentialing of all PruittHealth services. - Answers incoming telephone inquiries from PruittHealth entities and payers regarding contracts and credentialing issues. - Work closely with all PruittHealth entities and educate on the requirements of credentialing and re-credentialing. - Support the Payer Relations with reports and updates regarding participation status with all payers. - Maintain corporate standard time frame for completion of credentialing applications. - Perform special projects upon request - Excellent Communication, Customer Service and Time Management Skills - Handles any additional duties as assigned by Management **ESSENTIAL SKILLS AND COMPETENCY:** - Ability to multi-task and handle consistent workflow - Ability to think critically and work independently - Attendance - must maintain timely, regular attendance. - Communicates well with clients, vendors, fellow partners, visitors and family members providing warm and friendly greeting and an approachable attitude. Answers questions when appropriate in a professional manner. - Develop and foster relationships - Effective oral, written and telephone skills - Excellent customer service and communication skills - Initiative to follow-up on pending issues and organize and assign work - Must be able to maintain confidentiality regarding company proprietary information - Must have the ability to relate professionally and positively and work cooperatively with external partners and other employees at all levels - Professional appearance. Dresses according to Company's Dress Code Policy - Proficiency in MS Office Suite (Excel, PowerPoint, Word, Outlook, Teams, etc.) - Work within scope of job requirements **ESSENTIAL ADMINISTRATIVE FUNCTIONS:** - Attends and participates in continuing educational programs to keep abreast of changes in your field as well as to maintain current license/certification as required. - Attends and participates in mandatory in-services. - Complies with corporate compliance program. - Performs other related duties as necessary and as directed by supervisor. **PREFERRED SKILLS AND EXPERIENCE:** - Minimum 2 years' experience in healthcare contract credentialing or equivalent **Family Makes Us Stronger.** Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! **_Apply Now_** to get started at PruittHealth! _As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status._

Job Tags

Contract work,

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