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

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  • 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,

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