Doherty Staffing Solutions

Credentialing & Demo Coordinator

Minnetonka, Minnesota
Depending on Qualifications
Aug 18, 2017
Sep 19, 2017
Job Type
Employment Status
Full Time

Doherty Top Talent is partnering with a large healthcare company located in Minnetonka, MN. We are seeking a Credentialing & Demographic Coordinator on 1st shift for this exciting employment opportunity! Pay for this position starts at $18/hour.

SUMMARY - The Credentialing & Demographic Coordinator is accountable for determining practitioner/organization eligibility for participation based on review and primary verification of all applications and supporting documentation. This person will assure that client applications are processed in accordance with NCQA standards, state and federal regulations.

Credentialing & Demographic Coordinator Main Duties/Responsibilities:

· Maintain provider demographic data in the CACTUS database system

· Work with spreadsheets and database applications (Visual Cactus, Word, Excel, Access, MS Outlook, and the Internet)

· Responsible for tracking requests, final analysis, completion, and follow-up requests

· Accountable for determining practitioner/organizational eligibility

· Responsible for assuring that applications are processed in accordance with NCQA standards, state and federal regulations, and the criteria outlined in the company's Credentialing plan

· Verifies that practitioners who provide care are qualified to do so

· Ensure accurate and timely verification of a practitioner's credentials

Credentialing & Demographic Coordinator Key Requirements/Qualifications:

· Associates or Bachelor's degree preferred, or equivalent professional experience

· Healthcare experience and knowledge preferred

· Strong computer skills required

· Attention to detail/accuracy

· Diligent problem solving/analytical skills

· Extraordinary customer service

· Highly motivated/self-starter

· Excellent written and verbal communication skills