<p>https://www.vivahealth.com/careers/benefits</p> <p>Job Description</p> <p>The Credentialing Coordinator is responsible for credentialing and re-credentialing practitioners, ancillary service providers and allied health professionals to ensure their qualification to participate in VIVA HEALTH'S provider network. The Credentialing Coordinator will serve a primary role in receiving and incorporating provider data appropriately into the provider set-up workflow process. This position will act as a resource for provider data integrity, provider file management and network development.</p> <p>Key Responsibilities</p> <ul> <li>Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. </li><li>Use CAQH data and credentialing software findings to make credentialing decisions regarding providers. </li><li>Analyze trends in monthly credentialing data to forecast workload for CAQH. </li><li>Communicate with internal departments to ensure quality assurance findings related to providers are reviewed and acted upon accordingly. </li></ul> <p>REQUIRED QUALIFICATIONS:</p> <ul> <li>Bachelor's Degree or equivalent experience in credentialing </li><li>3 years of experience in credentialing </li><li>Ability to analyze and solve problems related to credentialing of providers and facilities </li><li>Proficient in manipulation of data to report statistical information to several of departments </li><li>Ability to work independently, research and resolve processing issues in a timely manner with little to no supervision </li><li>Organized, detail oriented, and skilled at multi-tasking </li><li>Demonstrate excellent customer service skills through written and verbal communication </li><li>Proficient in the Microsoft Office suite of products </li><li>Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations </li></ul>