Ancillary Credentialing Rep

Ancillary Credentialing Rep
Wheeling, WV Charleston, WV Morgantown, WV Massillon, OH
Full-Time
Provider Delivery Services
Manager Provider Information Mgt

Responsible for credentialing of ancillary providers and associated activities in support of the credentialing process as outlined in THP policy CR-07 in accordance with established Health Plan credentialing policies following NCQA, Medicare, the state of West Virginia, West Virginia Medicaid, and the state of Ohio policies and procedures. 

  1. Associates Degree or high school diploma/equivalent and two years related healthcare experience;
  2. Strong organizational, interpersonal, and critical thinking skills;
  3. Excellent communication skills, both written and verbal;
  4. Ability to multi-task, prioritize workload to meet deadlines, and pay meticulous attention to detail;
  5. Ability to troubleshoot, problem solve and work as a team as well as indepedently;
  6. Experience in personal computer software applications such as Microsoft Office (Word, Excel) and Adobe Acrobat.

  1. Bachelors Degree;
  2. Previous credentialing experience;
  3. CPCS Certification;
  4. Experience with data systems;
  5. Knowledge of medical coding and terminology.

Employment Documents

EEO

Or, if you are interested in a fast-paced career with us, please send resume with salary requirements to:

HR Department 
1110 Main Street
Wheeling, WV 26003-2704
hr@healthplan.org