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Provider Partners Health Plan1 day ago

Credentialing Coordinator- Temporary

Remote · United States

Type
Internship
Level
Mid Level
Education
High School Or Equivalent
Company size
Large

Job Summary

Credentialing Coordinator - Temporary responsible for credentialing practitioners for PPHP networks, performing primary source verification, and maintaining provider data within Salesforce to support regulatory/compliance requirements. Key duties include primary source verification for practitioner participation in PPHP networks, handling provider-eligibility inquiries, maintaining updated provider files and SF inventory, auditing delegated entities for CMS/NQA compliance, and preparing written responses to obtain missing information while ensuring accurate provider data throughout credentialing and recredentialing processes. Required skills include proficient Excel use and strong verbal/written communication, with a focus on provider experience and timely issue resolution.

Required Qualifications

  • High School Diploma
  • 3 years health insurance/managed care credentialing operations experience
  • 2 years of Delegated Credentialing Auditing
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Provider Partners Health Plan

Credentialing Coordinator- Temporary

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