Campus Pride Jobs

Teksystems is currently seeking a Healthcare Credentialing Coordinator with a reputable Healthcare system in St. Louis, MO

The Credentialing Coordinator is responsible for obtaining and verifying appropriate credentialing documentation for all necessary MTM and/or Ride Right stakeholders including, but not limited to: Drivers, Members, vehicles, and Transportation Providers. This is a critical function of our business and must be

completed with a high level of accuracy.

Essential Functions:

• Accurately follow the credentialing protocols of Network and Client contracts

• Review credentialing documents and determine whether compliance standards have been met; escalate to Legal Department as necessary

• Ensure timely review of all documents

• Make educated approval decisions based on assessment results

• Lead calibration meetings in order to ensure compliance of stakeholders, nationwide

• Maintain metrics related to credentialing activity

• Review the list of stakeholders that are currently not in compliance or those who are at-risk of becoming non compliant and make appropriate determinations

• Audit to ensure stakeholder compliance and communicate any necessary updates

• Determine approval or rejection of stakeholder credentials

• Make process recommendations to Legal Department, in efforts to improve quality and process

• Audit contractual documents for accuracy and compliance

• Run sanction checks, as required

Skills & Qualifications:

• The ability to retain knowledge of various governmental and company requirements for transportation

providers and their supporting staff

• Maintain confidentiality and professionalism during all Client, Provider, and Company interactions

• Ability to identify and respond to customer needs and circumstances

• Ability to make educated decisions

• Ability to acquire and maintain in-depth knowledge of department process and procedures

• Strong attention to detail

• Exemplary communications skills

• Must have the ability to handle multiple tasks and situations effectively

• Knowledge of Microsoft systems such as Outlook, Excel, Word

• Ability to maintain high level of confidentiality

• Regular attendance is required

Required Education and Experience:

• High School Diploma

• Previous customer service experience

• Experience with data entry

Experience Level:

Entry Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.