Credentialing Specialist Duties may include:
*Monitor high volume of incoming email activity, respond to emails accordingly in a timely manner.
*Verify and document status of pharmacy credentials from primary source.
*Data Entry of credentialing status and key details
* Pharmacy communication and issue resolution via phone, email, and or bizfax.
*Perform research as a directed.
Performs other related duties as directed by supervisor.
Minimum 3 -5 years of related experience is required.
This is a data entry and quality control position and requires a high degree of attention to detail, quality, and accuracy.
Mid to advanced level proficiency in Microsoft Word, Excel and Access is required. Preferred 75WPM, 100% accuracy rate.
Strong communication skills with the ability to communicate clearly and in a concise professional manner. Direct communication with pharmacies (calling, emailing, & faxing). Verbal communication skills, polite, professional, clear enunciation, and good tone. Email professionalism and etiquette are key, along with spelling and good grammar (verbal/written).
Candidates must be computer savvy (working with internet, well versed in terms such as browser, clear cookies, mapping and navigating network drives, navigating various systems, importing/exporting various file types, formulas, pivot tables).
This position assists with the compliance of federal, state and local regulations relative to professional licensure, services provided under such licensure and corporate law. The Credentialing Specialist position is responsible for a variety of tasks and functions that encompass the administration of the pharmacy credentialing activities. Responsibilities may include reviewing survey responses, maintain accurate documentation and tracking of credentialing records, respond to pharmacy questions, provide pharmacies with technical support related to survey submission, and issue research and resolution. This position uses MS Outlook, Excel, and Access daily.
Education or experience equivalent to a 4-year college degree is required.
What days & hours will the person work in this position? List training hours, if different.