Murtech

Murtech is hiring: Clerical Administrative Support in Pittsburgh

Murtech, Pittsburgh, PA, US

Job Title: Clerical Administrative Support – USC Only

Location: 100% Remote

Schedule: Monday – Friday 8am-5pm (some flexibility)

Job Description:

This job processes provider applications and re-applications including initial mailing, review, and loading.
Maintains provider data base and communicates with providers by phone and mail regarding credentialing status and information.
Performs credentialing, re-credentialing and related activities and coordinates credentialing verifications.
Review and processes more complex additions, updates, and deletions of provider information in the Dental Provider file database.
Supports the implementation of new networks, systems, software, guidelines, and other endeavors with a focus on “group practices” as opposed to individual providers.
Depending on level, trains credentialing personnel in the use of various systems, software, databases, and procedures.
Participates in projects which streamline, automate, or otherwise enhance credentialing functions.

Job Responsibilities:

Credentials and re-credential providers.
Contact providers or representatives by telephone or in writing to obtain additional information which processing their enrollment applications.
Screen incoming applications and paperwork for completeness and accuracy and sends necessary paperwork to credentialing vendor.
When necessary, performs credentialing verifications and loads provider to appropriate networks and credentialing information to the provider database.
Manage credentialing inventory, reports, and projects to ensure all establishes timeframes for completing work, reports, and projects are met.
Depending on level, train credentialing team in the use of various systems, software, databases, processes, and procedures.
Create and distribute monthly reports as assigned and handle complex and unusual or high-level credentialing issues.
Support projects, audits, business partners, internal departments, and external clients.
Represent department as the Subject Matter expert.
Pull and research necessary documentation for audits.
Support updates necessitated by our partners, internal departments, and external clients.
Provide customer oversight for our customers who have unique requirements and timelines to ensure compliance.
Participate in projects which streamline, automate, or otherwise enhance credentialing functions.
Other duties as assigned.

Required Qualifications:

High school diploma or GED
3-5 years of credentialing experience
Experience in provider data management, customer service or claims
MS Office experience (i.e., Word, Excel, PPT, etc.)
Good written and verbal communication
Proficiency in the use of the provider file and the credentialing of providers
Proven diplomacy and a professional demeanor for effective communication with provider offices, internal personnel, vendors, accounts, and committees
Strong written communication and presentation skills

Preferred Qualifications:

Familiar with credentialing processes and the URAC standards.
Experience in the use of ULTRA and dental provider file systems.
Experience with the customer service inquiry system or claims processing concepts.