Job Description
Job Description
Day-to-Day Activities:
Start the day by checking the Credentialing inbox in Zendesk and addressing any urgent tickets.
Respond to providers and recruiters, processing requests for information and managing re-credentialing tickets.
Monitor CredentialStream for any expirable items that need action and address those not auto-verified by the system.
Conduct re-credentialing activities, including sending out emails and making phone calls to providers whose re-credentialing is due soon.
Track and manage administrative tasks related to re-credentialing.
Ensure all communications and actions are properly tagged and documented in Zendesk.
Maintain a high level of organization and efficiency to handle the high volume of tasks and communications.
Responsibilities:
Manage Credentialing Inbox in Zendesk:
Handle term hold tickets.
Respond to providers and recruiters.
Process requests for information.
Manage re-credentialing tickets.
Action Expirable Items in CredentialStream (CS):
Address items not auto-verified by CS.
Continuously monitor CredentialStream.
Conduct Re-credentialing:
Execute email and call campaigns for re-credentialing phone calls near the due date.
Track re-credentialing administrative tasks.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form ( . The EEOC "Know Your Rights" Poster is available here ( .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: .
Skills and Requirements
Must Haves:
Credentialing Background:
Experience with process-heavy tasks.
Proficiency in provider verification, handling expired licenses, and documentation.
Familiarity with re-credentialing processes for providers within a 3-year cycle.
Communication Skills:
Proficient and well-spoken.
Skilled in making phone calls to providers regarding missing documentation.
Technical Skills:
Expertise in using Zendesk for communication with providers.
Experience with digital credentialing tools.
Ability to handle a high volume of tickets (100+ per day) and align with tagging items.
Healthcare Experience:
Experience in a high-volume healthcare environment. null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to
[email protected].
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