Bilingual Pharmacy Technician, Spanish
Microsoft 365
Credentialing Administrator
Concentra
full-time
Posted on:
Origin: • 🇺🇸 United States • Florida, Massachusetts, Virginia
Visit company websiteJob Level
JuniorMid-Level
About the role
- Day-to-day support for the Contracting and Credentialing teams including launching of team workflows in the IntelliCred database
- Manage and track DOT and APC/ATC certification and compliancy; research/validate DOT certification and practice profiles via the NRCME website
- Serve as support for maintaining and tracking all APC/ATC agreements for compliancy and submit written requests to field EAs
- Facilitate, maintain and track facility credentialing applications for Urgent Care, Physical Therapy, Primary Care and Work Comp payers
- Act as primary liaison to secure needed facility licensures by working with internal licensing department, clinical and operational leaders
- Conduct internal audits such as facility rosters and various IntelliCred database validations to ensure data integrity
- Launching workflows in the IntelliCred system for Medicare, Group Health and Quality Control and Administration teams for new hires, terms, location updates for clinician Medicare enrollment, external payer credentialing needs, APC Collaborative Agreements and DOT certification compliancy
- Participate in acquisition activities for the department to include launching workflows, updating internal facility rosters and IntelliCred Group records
- Maintain departmental administrative tasks such as office supplies, incoming/outgoing mail, Fed Ex, department contact lists
- Create and maintain internal Facility Listings and Groups/Locations in database with facility demographics, NPIs, legal entity, TIN, Medicare PTAN and billing information
- Prepare reports such as custom facility listings and provider rosters for internal and external clients
- Track contracts for review and signature by executive leaders and maintain Group Health payer contract files
- Reconciliation for Internal Credentialing verification charges and biweekly submission through Concur expense reporting system
Requirements
- Education Level: High School Diploma or GED
- A college degree in related field or equivalent work experience
- Customarily has at least 2 years of administrative skills experience
- Moderate to advanced Excel skills
- Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
- Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
- Outstanding customer service skills and ability to deal with people with tact and professionalism
- Ability to properly handle sensitive and confidential information (including HIPAA and PHI)
- Ability to accurately type
- Detail oriented and highly organized
- Microsoft Office Suite proficiency
- Excellent verbal and written communication skills
- Ability to utilize all proprietary Concentra software programs
- Ability to work independently within company guidelines and policies
- Ability to effectively present information and respond to questions from managers, clients, and customers
- Ability to read and comprehend standardized instructions, short correspondence, and memos
- Ability to solve practical problems and deal with a variety of concrete variables
- Basic understanding of office equipment (copier, scanner, fax, phone)
