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Credentialing Coordinator
Blue Cross Blue Shield of ArizonaCredentialing Coordinator facilitating the credentialing and recredentialing of Medicaid providers for Blue Cross Blue Shield of Arizona. Focused on timely processing and coordination with various departments.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider credentialing and recredentialing processes, ensuring accuracy and compliance in healthcare provider applications. Proficient in coordinating meetings and communicating effectively with stakeholders to facilitate timely credentialing operations.
Highest-signal resume keywords
Provider CredentialingRecredentialingCredentialing Verification Organization (CVO)Certified Provider Credentialing Specialist (CPCS)Data Entry
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing ProcessPrimary Source VerificationApplication ReviewData EntryMeeting Coordination
Soft Skills
CommunicationOrganizational Skills
Tools & Technologies
Credentialing Database
Certifications & Qualifications
Certified Provider Credentialing Specialist (CPCS)
Industry Keywords
HealthcareMedicaidCredentialing Committee
About the role
Key responsibilities & impact- Facilitate the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers
- Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
- Coordinate Credentialing Committee meetings
- Identify and communicate agenda items for Credentialing Committee to immediate leader
- Facilitate prompt coordination with the Credentialing Verification Organization (CVO)
- Review and maintain all applications for accuracy and completeness
- Accurately and efficiently data enter primary source verification data into the credentialing database
- Generate and mail approval letters to participating providers
- Communicate with Network Services regarding status of provider and organizational credentialing
Requirements
What you’ll need- 2 years of experience in a healthcare field
- 2 years of experience in provider credentialing
- High-School Diploma or GED in general field of study
- Associate's Degree in general field of study preferred
- Certified Provider Credentialing Specialist (CPCS) preferred
Benefits
Comp & perks- Health insurance
- Flexible work arrangements