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Credentialing Representative (NH)
Ref No.: 19-07562
Location: Hooksett, New Hampshire
Duties:
  • Accurate and expeditious verification of HealthCare Professional credentials
  • Ensure all Health plan and National Committee for Quality Assurance requirements are met
  • Knowledge of and compliance with NCQA and state specific standards
  • Assist in the testing and implementation of procedures to improve efficiency
  • Prepare Health Care Professional documentation for Credentialing Committee review
  • Ability to exceed quality and production metrics
  • Maintain provider profiling system
  • Communicate via verbal and written means with providers and matrix partners
  • This is not a call center environment, but does require communication with Health Care Professionals
Skills:
  • Able to handle multiple priorities and be accountable
  • Excellent organizational and time management skills
  • Computer literate in Microsoft Office, Access, and Excel
  • Able to navigate the internet proficiently
  • Strong communication and interpersonal skills
  • Ability to work independently within a team
  • Analytical and problem solving skills
Education:
  • High school diploma with equivalent experience required

Languages:
  • English Read Write Speak