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Customer Advocate – Entry Level Credentialing
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Job Description
Customer Advocate – Entry Level Credentialing | Kelly
The Tone:
This is an early career opportunity at Kelly, working with a top insurance client, located in Richardson, TX. The client focuses on ensuring practitioners are properly verified and approved for their insurance networks. This role is crucial for maintaining accurate provider data, supporting timely network participation, and ultimately becoming a vital part of the community.
The TL;DR
• Role: Early Career
• Type: Full-time
• Location: In-person, Richardson, TX
• Pay: $17 hourly
• Mission: Ensure accurate and timely credentialing and recredentialing of healthcare practitioners for network participation across multiple states.
• Tech Stack: Windows, Word, Excel, Access, other business-related/associated databases
What You’ll Actually Do
• Data Verification: Accurately review and complete Primary Source Verification Data for practitioner credentialing and recredentialing across multiple states.
• Application Processing: Conduct thorough research and process practitioner applications, adhering to company, state, and product requirements.
• Compliance Auditing: Audit, monitor, and report defined elements for credentialing and recredentialing activities, ensuring compliance with regulatory agencies and HCSC internal policies.
• Inquiry Resolution: Respond to inquiries from practitioner offices or internal departments regarding application status and supporting documentation.
• System Accuracy: Verify and ensure the accuracy of information entered from network practitioner applications into the Credentialing and Provider Data Systems.
The Must-Haves
• Background: Early Career, high school diploma or GED required. Core domain knowledge in entry-level credentialing.
• Experience: Two years of business experience. A combination of college-level education and experience will be considered.
• Skills: Clear and concise interpersonal, verbal, and written communication skills. Strong organization skills to handle multi-processes and multi-states. PC experience in Windows, Word, Excel, and Access.
