Credentialing Services Specialist

Company: LogistiCare
Location: Garden Grove
Posted on: March 14, 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