Credentialing Quality Assurance Coordinator

Blue Cross and Blue Shield Association

Philadelphia, PA

JOB DETAILS
SKILLS
Accreditation Standards, Communication Skills, Organizational Skills, Presentation/Verbal Skills, Quality Assurance, Quality Assurance Methodology, Writing Skills
LOCATION
Philadelphia, PA
POSTED
30+ days ago

Job Duties

Responsible for the final assessment of credentialing files in preparation for the credentialing determination. Utilizes corporate, state, federal, and accreditation credentialing standards. The Credentialing Quality and Assurance Coordinator assures that routine applications meet all participation and credentialing requirements and that non-routine files are identified and processed to meet all requirements for committee review. Records decisions with appropriate documentation and rationale in the credentialing database. Assures the confidentiality and integrity of all aspects of the Credentialing Quality and Assurance process. Desirable organizational, decision making, written and verbal communication skills.

Qualifications -

  • Working knowledge of credentialing process.
  • 1-2 years experience in credentialing database required
  • Demonstrates ability to work independently.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

About the Company

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Blue Cross and Blue Shield Association

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Insurance
WEBSITE
https://www.bcbs.com/about-us/careers