provider credentialing specialist. orlando , florida posted today job details summary $20 - $23 per hour temp to perm associate degree category healthcare support occupations referenceAB_4594108 job details REMOTE - MUST BE LOCAL TO ORLANDO, FL The Credentialing Specialist reports to the Network Operations Manager and is responsible for activities associated with credentialing or re-credentialing of network providers, including review of providers credentialing documentation, processing, loading providers into the tracking database system to ensure high quality standard are maintained. salary: $20 - $23 per hour shift: First work hours: 8 AM - 5 PM education: Associate Responsibilities Collect and evaluate initial and re-credentialing applications from providers and submit them to credentialing specialists. Support NCQA audits and ensure compliance with credentialing QA standards. Review provider documentation for re-credentialing and report any issues to leadership. Monitor credentialing cycles to ensure compliance with regulatory and accrediting agency standards. Maintain communication with provider representatives regarding the credentialing status of their providers. Follow up on non-compliant physicians and facilities, recommending corrective actions when necessary. Prepare end-of-month reports to communicate credentialing committee outcomes to providers. Assist with mailing credentialing applications and follow-ups as per policy timelines. Handle incoming calls, prepare provider mail-outs, and manage special projects. Maintain and file provider records, ensuring compliance with inventory procedures. Set up and manage practitioner files, contracts, and key documents in the credentialing workflow. Prepare provider grids and profiles for credentialing committee review. Support meeting coordination, including managing deadlines, agendas, and compiling meeting materials. Assist with meeting minutes, follow-up items, and documentation within one week of meetings. Conduct follow-up activities after credentialing meetings, including notifying teams, sending welcome letters, and re-credentialing confirmations Skills Microsoft Office Credentialing NCQA Report Preparation Compliance Communication Health Insurance Policies Administrative Duties Qualifications Years of experience: 5 years Experience level: Experienced 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. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility). This posting is open for thirty (30) days. get in touch we are here to help you with your questions. SD samantha dougherty sam.dougherty@randstadusa.com
...for this Direct Hire opportunity click here. For additional information on other USSF direct hire opportunities visit the Air Force Civilian Careers Space Force website and follow USSF on LinkedIn. Duties The United States Space Force (USSF) Space Systems...
...Delivery Driver Job Description - Appliance & Furniture RentAll Part-Time As a Delivery Associate at Appliance & Furniture RentAll, you will be an essential part of our team, ensuring the smooth and timely delivery of appliances and furniture to our valued customers...
Security Comments : Position Description : . There is an incumbent for this posting, however, please feel free to submit candidates for consideration as they will be considered equally. NA% Remote. See attached.
...hearted, and desire to cultivate wisdom. Palm Beach Christian Academy (PBCA) is the school ministry of Family Church.As an elementary education professional, you will help shape future Christian leaders who will advance Gods church, community, and His Kingdom on earth....
...Overview Who We Are: At Planet Fitness, our mission has always been to enhance peoples lives by providing a high-quality fitness experience in a welcoming, judgement free environment. We are proud to be one of the largest and fastest-growing franchisors and operators...