Health One Alliance
Credentialing Representative
Dalton, Georgia, USA
Sponsorship not specifiedDetected 20 days ago
ComplianceExcelHIPAACommunicationPublic Speaking
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Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- Our PURPOSE is to care for people by connecting them to resources that help protect them in health related situations.
- To fulfill our purpose, we align our PRIORITIES to ensure each decision we make is ethical, empathetic, economical, and efficient.
- We care for PEOPLE by being welcoming, authentic, truthful, consistent and humble.
Responsibilities
- Performs all credentialing verifications necessary to complete the credentialing process while maintaining the appropriate compliance standards in an electronic format
- Performs provider re-credentialing, at least every 36 months in compliance with NCQA standards
- Maintains provider and patient confidentiality at all times
- Collaborates with other departments and outside agencies to meet identified needs of the providers and their patients, while also ensuring credentialing staff cooperation
- Maintains regular and predictable attendance
- HealthOne is guided by a cultural framework that embodies our values and drives our decisions.
- Whether you're starting your career or looking to develop additional skills to reach your full potential, HealthOne provides the means to help you achieve your goals.
Requirements
- Must be able to drive a vehicle and daytime/overnight travel as required.
- Ability to learn quickly and be self-motivated
- Familiarity with insurance terms and concepts
- Provides timely follow-up to obtain required documentation to complete the credentialing process
- Drug Screen and Background Check Required
- Requires a high school diploma or its equivalent
- One to three years' general work experience
- Minimum of one year of health plan experience preferred
- Intermediate skill with Microsoft Excel and Word
Nice to have
- Knowledge of credentialing process a plus
Compensation
- Competitive salary
- The position also helps to review and update criteria and credentialing policies and procedures, as necessary, but no less than annually.
Benefits
- 401K (4% Match, Immediate Vesting)
- Dental Insurance
- Flexible Spending Account
- Health & Wellness Program
- Health Savings Account
- Long Term Disability
- Medical Insurance
- Short Term Disability
- Vision Insurance
- Our mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors.
Company info
- MISSION Our mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors.
- We are continuously looking for ways to improve our PROCESS and how we get things done.
- HealthOne seeks individuals with integrity and heart to embody our values.
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This listing is sourced directly from Health One Alliance's careers page and normalized into a canonical job model.