Blue Cross Blue Shield of Arizona · 23 hours ago
Credentialing Assistant (AZ Remote)
Phoenix, AZ
Full-time
Remote
Entry Level
1+ years exp
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Responsibilities
Intake, data enter, and scrub initial credentialing requests
Import CAQH, CVO, and delegated entity txt files into the eVIP’s application
Oversee and triage incoming department emails
Monitor workflows in the eVIPs application assign files to Credentialing Coordinators as applicable
Provide status updates and notification of credentialing completion to internal departments
Clearly communicate credentialing rejections to Network Services staff
Submit credentialing files to the Credentials Verification Organization (CVO). Monitor credentialing files through processing with the CVO and ensure timely delivery to Credentialing Coordinators
Manage and import of daily receipt of Credentialing Data Transmission (CDT) files from CVO into eVIPs application
Escalate any issues identified in relation to work in progress (WIP) or credentialing files received by CVO to department leadership
Ensure providers CAQH applications are current, and all required documents are present in order to begin credentialing process with CVO
Coordinate with Network Services, providers, or other sources as necessary on follow-up items needed to complete the credentialing process
Maintain credentialing status within the eVIPs application. Update credentialing approval dates. Generate welcome letters and recredentialing approval letters and distribute to providers
Maintain ongoing participating in cross-training activities
Actively engage in addressing special projects as they arise
Provide recommendations and feedback regarding development of process improvements and/or standardization practices
Perform all other duties as assigned
The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
Qualification
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Required
1 year of administrative experience
High-School Diploma or GED in general field of study
Familiarity with Microsoft Office software (Outlook, Word, Access, Excel, PowerPoint)
Ability to analyze and evaluate data and other provider related problems in order to develop alternative solutions for a positive outcome
Ability to multi-task and prioritize workload, manage multiple priorities, and pay meticulous attention to detail
Excellent organizational skills
Strong verbal and written communication skills
Maintains information in a confidential manner according to policy
Outstanding interpersonal skills, able to quickly establish a trusting rapport with individuals at all levels
Preferred
1 year of administrative experience, preferably within a credentialing/recredentialing environment and knowledge national accreditation or regulatory criteria
Associates degree in a related field
Familiarity with credentialing database software
Thorough understanding of managed care credentialing
Company
Blue Cross Blue Shield of Arizona
Blue Cross Blue Shield of Arizona is a non-profit company that offers health insurance and financial services.
1,001-5,000 employees
H1B Sponsorship
Blue Cross Blue Shield of Arizona has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (5)
2021 (3)
2020 (4)
Funding
Current Stage
Late StageLeadership Team
Pam Kehaly
President and Chief Executive Officer
Company data provided by crunchbase
