Credentialing Services Specialist

Company: LogistiCare
Location: Garden Grove
Posted on: January 5, 2020

Job Description:

The Credentialing Services Specialist ensures contract fulfillment of insurance requirements, credentialing of sub-contractor vehicles and drivers. He/she is the front line in the support and completion of contractual credentialing obligations.

ESSENTIAL FUNCTIONS
Ensures compliance with applicable federal and/or state laws, regulations, and/or agency rules, contract standards and guidelines, etc.
Verifies provider documents and ensures that they meet contract requirements and maintain documents in an electronic filing system
Typing and/or writing correspondence
Communicates with outside agencies as needed
Submits weekly reports to management staff
Establish and maintain good working relationship with fellow employees, transportation providers and other stakeholders
Ensures accurate and timely data input
Maintains and manages data accounts in database
Proactively partners across all departments to manage the timely satisfaction of LogistiCare's obligations under all contract agreements
Make observations and recommendations for improvement to management / Credentialing Services team
Maintain strong working knowledge of LogistiCare operations and procedures
Perform other duties as assigned

POSITION QUALIFICATIONS
Competency Statement(s)
Accurate - Ability to perform work accurately and thoroughly
Communication, Oral - Ability to communicate effectively with others using the spoken word
Communication, Written - Ability to communicate in writing clearly and concisely
Customer Oriented - Ability to take care of the customers' needs while following company procedures
Detail Oriented -- Ability to pay attention to the details of a project or task
Interpersonal - Ability to get along well with a variety of personalities and individuals
Reliability - The trait of being dependable and trustworthy
Research - Ability to analyze, interpret and draw inferences from research findings

Education
High School Graduate or General Education Degree (GED)

Experience
2 years prior experience in an Administrative Assistant role or in a similar role preferred
2 - 3 years of customer service experience a plus

SKILLS & ABILITIES
Excellent written and verbal communication skills
Superior time management and problem solving
Proficient in Microsoft Word, Excel and Outlook and must be able to learn and acquire proficiency in LogistiCare's proprietary software application(s)

PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Able to sit at and work on a computer for periods of time
- Able to use the phone for periods of time
- Able to lift up to 10 pounds and reach/bend to retrieve items in cabinets and shelves
- Required to be at the work location to perform job functions
- Ability to speak, hear and see for the assigned work day
- Repetitive key stroke/data entry for the assigned work day
- Ability to ambulate as needed for the assigned work day

WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Entire work time is conducted in an office environment in a controlled atmosphere building.
The noise level in the work environment is usually moderate.

LogistiCare is an Equal Opportunity Employer.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Keywords: LogistiCare, Garden Grove , Credentialing Services Specialist, Other , Garden Grove, California