Credentialing Coordinator

JOB SUMMARY: Under the direction of the Director of Provider Services, the Credentialing Coordinator will be responsible for supporting the integration of NVA and the outside Credentials Verification Organization (CVO) and ensuring that all credentialing documentation is complete and clean.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Support the Credentialing Department in the integration of the CVO, audits, and other department functions
Review ECP credentialing and re-credentialing applications for completeness
Follow up to obtain missing documents
Review, verify and update the recredentialing due report
Upload initial applications to the credentialing portal
Pull termination report and update terminations in the credentialing system
Retrieve and prepare files for audits
Track and monitor work flow in and processing of applications
Assist in the preparation of documents for the Credentialing Committee
Assist Provider Services Department as needed
Other duties as assigned

QUALIFICATION REQUIREMENTS:

Credentialing experience preferred, but will train someone exceptional with highly transferable skill set and ability and strong desire to learn quickly.
Must have excellent organizational and follow up skills
Must be detail oriented, analytical and have the ability to handle large amounts of data
Strong written and oral communication skills
Advanced Intermediate level Microsoft Office skill set (outlook, word, excel, etc.)
Ability to work independently and self supervise
Ability to multitask
Goal oriented and able to meet deadlines
Must be team oriented
Flexibility to work outside normal business hours to meet deadlines when necessary
Ability to work with all levels of an organization

Featured Benefits

Competitive salary
Potential to earn $1,000 sign-on bonus
Vacation and Sick/Personal Time
Medical Insurance
Hearing Program Discount
Short- & Long-Term Disability Insurance
Life Insurance
Flexible Spending Account
401(k)
Employee Referral Program
Employee Recognition
Tuition Reimbursement
Professional Development Training

About Benecard Services our affiliated companies:

Benecard Services, LLC

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

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BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.

Website:

National Vision Administrators

For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.

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We are an Equal Opportunity employer.