Insurance Referral Coordinator
Location:
Beachwood , Ohio
Posted:
November 17, 2017
Reference:
03310-0010168630

Insurance Referral Coordinator OfficeTeam currently has an open position for a Insurance Referrral Coordinator for a company in Beachwood, Ohio. Essential Duties and Responsibilities include the following - Complete and review with accuracy and thoroughness all new hires and additional locations/boards for credentialing and re-credentialing applications within timeframe. - Responsible for notification to appropriate parties once received. - Responsible ensure MSO (Medical Staff Offices), credentialing database is updated and current. - Ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO's State Boards) - Provide timely follow-up to obtain documentation required. - Credentialing (within 180 days) re-credentialing within 36 months. - Coordinate internally to ensure complete information is received. - Ensure credentialing re-credentialing is processed in accordance with NCQA and company standards. - Assist and prepare for NCQA audit. - Additional projects as needed. - Reads and abides by the company's code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs. - Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company. - Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so.


A little about us:
Founded in 1948, Robert Half (NYSE: RHI) is the world's first and largest specialized staffing services firm.

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