Credentialing Representative

A company is looking for a Credentialing Representative. Key Responsibilities Utilize resources to identify appropriate medical codes and their applicability Manage multiple work demands while maintaining productivity and turnaround time standards Resolve medical coding edits or denials related to code assignment Required Qualifications High School Diploma / GED (or higher) 2+ years of healthcare provider credentialing experience 1+ years of experience with compliance workflows and NCQA policies 1+ years of experience in researching government regulatory information Intermediate proficiency with MS Excel and Word