Department: Provider Relations
Reports To: Provider Credentialing Supervisor
Closing Date: Open Until Filled
Become a part of EMI Health’s growing organization. EMI Health is an employee benefits firm providing insurance products to companies and individuals in many states across the country. We provide our employees with an option for a benefit package that includes paid medical and dental coverage for employees, paid time off and holiday pay.
SUMMARY OF JOB: Under direction of the Provider Credentialing Supervisor, the Provider Credentialing Clerk assists in the development and maintenance of, medical, dental, and other participating provider networks, following company procedure. This is a part-time 20 hours, non-exempt position.
PRIMARY responsibilities:
- Verifies required credentials to determine eligibility of participating providers and accuracy of records.
- Talks with providers by phone and works with internal staff to resolve outstanding credentialing issues.
- Maintains internal databases and utilizes online database verification systems.
- Prepares written communication for credentialing providers.
- Actively participates in activities of the department to ensure compliance with overall objectives.
- Other duties as assigned.
EDUCATION, EXPERIENCE AND QUALIFICATIONS:
- High school diploma and six months of related experience and/or training required.
- Moderate/advanced Microsoft Excel skills.
- Excellent organizational skills.
- Effective written and verbal communication skills
- Ability to problem solve
