Medical Transport Credentialing Coordinator
TEKsystems - Saint Louis, MO
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Description: The Credentialing Coordinator is responsible for obtaining and verifying appropriate credentialing documentation for all necessary stakeholders including, but not limited to: Drivers, Members, vehicles, and Transportation Providers. This is a critical function of our business and must be completed with a high level of accuracy. Essential Functions Accurately follow the credentialing protocols of Network and Client contracts Review credentialing documents and determine whether compliance standards have been met; escalate to Legal Department as necessary Ensure timely review of all documents Make educated approval decisions based on assessment results Lead calibration meetings in order to ensure compliance of stakeholders, nationwide Maintain metrics related to credentialing activity Review the list of stakeholders that are currently not in compliance or those who are at-risk of becoming non compliant and make appropriate determinations Audit to ensure stakeholder compliance and communicate any necessary updates Determine approval or rejection of stakeholder credentials Make process recommendations to Legal Department, in efforts to improve quality and process Audit contractual documents for accuracy and compliance Run sanction checks, as required Qualifications: Previous Customer Service Experience - Preferably from a healthcare background Previous Data Entry Experience - Preferably from a healthcare background Previous Microsoft Office Experience -Medical Transportation experience is top preference The ability to retain knowledge of various governmental and company requirements for transportation providers and their supporting staff Maintain confidentiality and professionalism during all Client, Provider, and Company interactions Ability to identify and respond to customer needs and circumstances Ability to make educated decisions Ability to acquire and maintain in-depth knowledge of department process and procedures Strong attention to detail Exemplary communications skills Must have the ability to handle multiple tasks and situations effectively Knowledge of Microsoft systems such as Outlook, Excel, Word Ability to maintain high level of confidentiality Regular attendance is required Hours: They are open from 6:00a - 6:00p M-F. The ideal shift would be 8:00a - 5:00p, but they are very flexible if someone is needing to start earlier or start later o Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: § Medical, dental & vision § Critical Illness, Accident, and Hospital § 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available § Life Insurance (Voluntary Life & AD&D for the employee and dependents) § Short and long-term disability § Health Spending Account (HSA) § Transportation benefits § Employee Assistance Program § Time Off/Leave (PTO, Vacation or Sick Leave) About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Created: 2024-10-01