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Credentialing Services Specialist


  • LogistiCare
  • 01/13/21
  • Charleston, WV
  • 25302-2028
  • Full-time
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 ModivCare's obligations under all contract agreements
* Make observations and recommendations for improvement to management / Credentialing Services team
* Maintain strong working knowledge of ModivCare operations and procedures
* Perform other duties as assigned

POSITION QUALIFICATIONS

Education

* High School Graduate or General Education Degree (GED)

Skills & 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
* 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 ModivCare's proprietary software application(s)

We value our team members and realize the importance of benefits for you and your family.

ModivCare offers a comprehensive benefits package to include the following:

* Medical, Dental, and Vision insurance
* Employer Paid Basic Life Insurance and AD&D
* Voluntary Life Insurance (Employee/Spouse/Child)
* Health Care and Dependent Care Flexible Spending Accounts
* Pre-Tax and Post --Tax Commuter and Parking Benefits
* 401(k) Retirement Savings Plan with Company Match
* Paid Time Off
* Paid Parental Leave
* Short-Term and Long-Term Disability
* Tuition Reimbursement
* Employee Discounts (retail, hotel, food, restaurants, car rental and much more!!)

Salary: $13.52 - $18.02/hourly

ModivCare is an Equal Opportunity Employer.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled


Employer Information

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