Managed Care Credentialing Support Specialist Job at Medical Services of America, Lexington, SC

UmVPLzB6MVVwRWlLdzRvVzNSZFQzZzA1QlE9PQ==
  • Medical Services of America
  • Lexington, SC

Job Description

This position will be responsible to complete, submit and track credentialing as well as re-credentialing data. while demonstrating high attention to detail and accuracy with emphasis on timeliness. We are looking for a full-time specialist in our Lexington, South Carolina office.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

  • Complies and maintains current and accurate data for assigned providers.
  • Maintains credentialing and re-credentialing documents. To include health plan secure portal access and validate provider profiles/demographics.
  • Prepares credentialing and licensing applications and gathers supporting documents.
  • Develops and maintains spreadsheets for monitoring as directed.
  • Maintains organizational notifications on a variety of managed care credentialing and licensing. To include relocations/openings/closures for organization.
  • Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.
  • Maintains internal processes to ensure that information is available to appropriate users.
  • Assembles credentialing and re-credentialing packets in a neat and orderly fashion.
  • Maintains a HIPAA compliant environment.
  • Supports and maintains a positive team environment at all times.
  • Exhibits exemplary customer service to both internal and external customers of the organization.
  • Contributes to team effort by accomplishing related tasks as requested.

MINIMUM JOB REQUIREMENTS

  • High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
  • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
  • Advanced computer knowledge, specifically as it relates to Microsoft Office (Word, Excel., etc.) Internet and Browsers required.
  • Advanced data entry skills required.
  • Excellent organizational skills required.
  • Excellent oral and written communication skills required.
  • Valid Drivers License

MSA Offers Competitive Pay And Excellent Benefits:

  • Generous paid time off
  • Medical/Prescription, Dental & Vision Insurance and other benefits (STD, LTD, Accident & Sickness, additional life insurance, etc.)
  • Company paid employee life insurance
  • 401(k) retirement with a generous company match
  • Opportunities for advancement
  • Many other great benefits

We are an Equal Opportunity Employer

Visit us at

Job Tags

Full time, Relocation,

Similar Jobs

West John Auto

Automotive Technician Job at West John Auto

 ...Level A & B) 34 Years of Trust | Same owner | Grow with Us Since 1990, West John Auto has been a cornerstone of Hicksvilles automotive community, delivering honest repairs and building lasting relationships. Now, were seeking passionate mechanics to join our... 

Merraine Group, Inc.

Homecare Training Manager (Part-Time with option for more hours, Onsite) Job at Merraine Group, Inc.

 ...This role presents an exciting opportunity for a skilled Training Manager to support the development of a dedicated home care team. The ideal candidate will bring hands-on experience in the home care sector and a passion for fostering learning and professional growth.... 

Cross Country Education

Occupational Therapist Job at Cross Country Education

 ...Our Occupational Therapists enjoy professional autonomy, but they also benefit from the camaraderie...  ...up to two Occupational Therapist Assistants, who implement the direct services in...  ...Completion of an accredited Occupational Therapy program Valid California Board of... 

The Wealshire, LLC

Activity Assistant - Part Time Job at The Wealshire, LLC

The Wealshire is an assisted living that specializes in memory care. We are currently searching for Part Time Activity Assistants/Life Enrichment Aides at our Medina Community . Base Pay: $20-22hr, predicated on experience. Hours : 11:30am - 8:00pm, must be... 

HDR

Project Manager Solid Waste Job at HDR

 ...details yield important realizations. Above all, we believe that collaboration is the best way forward.HDR is seeking a Project Manager-Solid Waste with experience managing and performing technical work on solid waste and recycling projects in the greater PA/OH area to...