Credentialing Coordinator

Description:

Position Summary

The Credentialing Coordinator is responsible for obtaining and verifying appropriate credentialing documentation for all necessary 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:

Knowledge, Skills, and Competencies

• 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