Cognizant · 1 day ago
Customer Service Rep, CREDENTIALING (Remote)
Earth City, MO
Full-time
Remote
Entry Level
$45K/yr - $52K/yr
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No H1B
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Responsibilities
Coordinating and gathering all necessary information for the successful set-up of new clients, groups and providers by professionally acquiring information from the provider or office staff.
Compiling and maintaining current and accurate data for all providers in the TriZetto credentialing database, including data entry for all new clients into credentialing software.
Support the completion of provider initial and re-credentialing applications, provider change forms and letters and successfully following up with Third Party insurance carriers as needed.
Maintaining copies of current state licenses, DEA certificates, malpractice factsheets, while tracking said requirement’s validity.
Acting as first point of contact for TriZetto Credentialing clients; frequent email and phone communication.
Assisting in the auditing of health plan directories as well as CAQH to ensure practice/provider demographics remain accurate and current.
Leading client conference calls and presenting material effectively to clients.
Interfacing regularly with internal Departments and Credentialing Clients regarding credentialing related inquiries and operations issues.
Maintaining confidentiality with regards to any disciplinary actions or malpractice suits.
Providing first-level reporting out of credentialing software.
Assisting the Credentialing Team with additional administrative tasks, as assigned.
Qualification
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Required
High School Diploma or GED required
Proficient use of Microsoft Office applications (Excel, in particular), internet resources and Adobe Acrobat
Complying with HIPAA policies, Company Policies and federal/state laws
Preferred
Associate’s Degree / strongly preferred
Experience with PECOs, NCQA Standards, CMS regulations related to credentialing and conducting web-based research is desired, but not required
CPCS or CPMSM Certification is a plus
Benefits
Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan
Company
Cognizant
Cognizant is a professional services company that helps clients alter their business, operating, and technology models for the digital era.
Founded in 1994
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$0.24MKey Investors
Summit Financial Wealth Advisors
2016-11-18Post Ipo Equity· $0.24M
1998-06-19IPO
Leadership Team
Ravi Kumar S
Chief Executive Officer
Anil Cheriyan
CTO / EVP Strategy & Technology
Recent News
2024-12-12
Company data provided by crunchbase
