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Credentialer

Company: IntelliCentrics
Location: Flower Mound
Posted on: May 20, 2020

Job Description:

Operations . United States Description

The Credentialer is primarily responsible for administration of inbound credential documents related to the IntelliCentrics Healthcare Industry Representative (HCIR) service offering.

Primary Responsibilities

  • Assess the credential document received from the customer, aka vendor rep, to determine if the submitted document meets the defined credential acceptance criteria. Credential acceptance criteria are specified and documented internally by the Standards and Policy Manager based upon healthcare regulatory and industry best practices.
  • Inspect the customer application for accuracy and completeness.
  • Send an email to the customer for each credential submission that is rejected due to not meeting the credential acceptance criteria. Email templates are available for all common credential rejection reasons.
  • Complete duties within established service level agreements (SLAs).
  • Ensure communication of errors and forgeries within established process.
  • Maintain team communication and support questions and shared knowledge
  • Suggest improvements to processes and/or revisions and updates to shared database and step-by-step instruction tool.
  • Special projects as assigned.
    Required Education and/or Experience
    • High school diploma or general education degree (GED)
    • One to three months related experience and/or training

      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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

      • While training for the essential functions of this job, employee is regularly required to work at a desk with a computer for 8 hours per day.
      • Office environment, inside limited dust and dirt.
      • Must be able to work the hours associated with the position training.

        Employment Status

        Non-exempt

        IntelliCentrics is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

        PM19 PI120317228

Keywords: IntelliCentrics, Flower Mound , Credentialer, Other , Flower Mound, Texas

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