Description:
Position Summary
The Credentialing Coordinator is responsible for obtaining and verifying appropriate credentialing documentation for all necessary stakeholders including, but not limited to: Drivers, Members, vehicles, and Transportation Providers. This is a critical function of our business and must be
completed with a high level of accuracy.
Essential Functions
Accurately follow the credentialing protocols of Network and Client contracts
Review credentialing documents and determine whether compliance standards have been met; escalate to Legal Department as necessary
Ensure timely review of all documents
Make educated approval decisions based on assessment results
Lead calibration meetings in order to ensure compliance of stakeholders, nationwide
Maintain adherence to MTM’s Service Agreements
Maintain metrics related to credentialing activity
Review the list of stakeholders that are currently not in compliance or those who are at-risk of becoming non compliant and make appropriate determinations
Audit to ensure stakeholder compliance and communicate any necessary updates
Determine approval or rejection of stakeholder credentials
Make process recommendations to Legal Department, in efforts to improve quality and process
Audit contractual documents for accuracy and compliance
Run sanction checks, as required
Review video footage
Qualifications:
Ability to work a 1-3 month project
Ability to work onsite 5 days per week (Mon-Fri 8:00am-4:30pm)
1+ year of corporate customer service experience
1+ year of data entry experience
MS Office Suite Experience
Required Education
- High School Diploma
***This is a 1-3 month contract strictly
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
▪ Medical, dental & vision
▪ Critical Illness, Accident, and Hospital
▪ 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
▪ Life Insurance (Voluntary Life & AD&D for the employee and dependents)
▪ Short and long-term disability
▪ Health Spending Account (HSA)
▪ Transportation benefits
▪ Employee Assistance Program
▪ Time Off/Leave (PTO, Vacation or Sick Leave)
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.