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Credentialing Specialist - Remote CT/MA
95 Woodland Street 4th floor Hartford, CT 06105 US
Job Description
Credentialing Specialist - Healthcare
6 Month Minimum Assignment with the potential of going Permanent.
***Remote Position (must live in CT or western MA area for in person meetings)***
Hour Pay is Based on Experience
The Credentialing Specialist will be responsible for all aspects of credentialing and re-credentialing medical Providers in compliance with NCQA guidelines.
Responsibilities:
- Compiles/Coordinates current enrollment material.
- Coordinates the mailing of current enrollment material to potential practitioner members, ensuring that the current versions of forms are being used.
- Works in conjunction with the Medical Staff Office and collaborates with other departments and practitioner offices to obtain materials needed for credentialing and enrollment as part of the credentialing process.
- Coordinates receipt of credentialing/enrollment materials Follows up on any missing items in a timely manner.
- At least 1 year in a managed care environment or equivalent.
- Knowledge and understanding of credentialing guidelines.
- Ability to organize, prioritize and manage multiple priorities, utilize analytical skills with strong attention to detail.
- Ability to research information, ability to problem solve.
Work for a highly rated Recruiting & Staffing Firm by Google and Forbes Magazine.
INDH
Meet Your Recruiter
Tara Guglietta
Recruiter, Healthcare Services
Tara Guglietta is a dedicated professional who has called Connecticut home for over a decade. She's a proud wife and a loving mother of three wonderful children. Tara's journey into the world of business and human resources began with a solid educational foundation.
Tara is a proud alumna of SUNY Brockport, where she earned her Bachelor's degree in Business Administration, with a minor in Mathematics. Her passion for business and analytics drove her academic pursuits, setting the stage for a successful career.
Upon graduation, Tara embarked on a fulfilling career in Human Resources and Recruiting, a field she's been committed to ever since. She has a wealth of experience in this domain, honing her skills and expertise with each passing year.
Since 2018, Tara has been an invaluable member of the J. Morrissey team, specializing in Healthcare Services. Her dedication and professionalism have made a significant impact on the company and the clients she serves.
Outside of her professional life, Tara's interests are diverse. She is a Certified Zumba Instructor and shares her passion for dance fitness by teaching two classes a week. Her commitment to staying active and promoting a healthy lifestyle shines through her Zumba instruction.
Interestingly, Tara's educational journey initially took her down a different path. She originally pursued a degree in Meteorology, demonstrating her curiosity about the natural world and the forces that govern it. While her career took a different turn, her love for learning and exploring new horizons remains a defining trait.
Tara Guglietta's story is one of dedication, versatility, and a lifelong commitment to personal and professional growth.