Credentialing Representative
Kelly Services - Richardson, TX

This job posting is no longer available on Kelly Services. Find similar jobs: Credentialing Representative jobs - Kelly Services jobs

Job Description
The Credentialing Department verify credentials for physicians and mid level providers that want to accept Customer insurance and see our members. Prior to listing the providers in the directory, a review of credentials outlined by the state and NCQA is performed. Providers are then approved by the Medical Director if clean and/or discussed by a physician panel if issues were found. This team will verify and analyze this information to determine if data is clean or has issues which drives the path of approval or denial.

Credentialing Rep II:
  • Communicate, verbally and in writing, with providers to determine accuracy and/or clarification of information provided on applications
  • Verify credentials and analyze the information to determine appropriate review paths
  • Document issues for physician panel preparation
  • Finalize files (perform audits) for quality review
  • Work files from a work queue within timelines mandated by the state and NCQA
Requirements
Computer literacy with attention to detail a must.

About Kelly Services ®

Kelly Services, Inc. (NASDAQ: KELYA, KELYB) is a leader in providing workforce solutions.
Kelly ® offers a comprehensive array of outsourcing and consulting services as well as world-class
staffing on a temporary, temporary-to-hire, and direct-hire basis.
Serving clients around the globe, Kelly provides employment to more than 560,000 employees annually.
Revenue in 2012 was $5.5 billion.
[Visit kellyservices.com and connect with us on
Facebook , LinkedIn , and Twitter .
Download The Talent Project , a free iPad app by Kelly Services.] ]]

Kelly Services - 19 months ago - save job - block
Recommended Jobs
National Sterile Processing Specialist
PREZIO Health - Dallas, TX
Prezio Health - 5 days ago

Credentialing Representative II
Blue Cross Blue Shield - Richardson, TX
HCSC - 2 days ago

Territory Development Representative, Interve...
Covidien - Dallas, TX
Covidien - 5 days ago
About this company
2,551 reviews
Kelly Services, Inc. (Kelly) is a global temporary staffing provider operating in 36 countries and territories throughout the world. The...