Medical Credentialing Analyst
Posted 2025-05-17Key Purpose of Role:
As an analyst the successful candidate will be responsible for their respective KPI performance in a US health care process
To be passionate about Customer Satisfaction and contribute to Customer Satisfaction
To make every call a warm experience for our customers while complying with policies & procedures
To help the development of an excellent working climate within the function
To be a team-player and assist colleagues in their contribution to achieving the Business goals
To actively support all multi-skilling initiatives within the process
Display a high level of integrity in all dealings with internal/external customers
Key Competencies
Sound analytical skills to ensure eye for detail with Logical & customer centric issue resolution skills
Ability to analyze, interpret and draw inferences from research findings
Ability to use independent judgment to manage and impart confidential information.
Ability to make administrative/procedural decisions and judgments
Responds to inquiries from providers and or PO's, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise
Contributor to Performance Management Targets by maintaining the set Average Handling Time and adhering fully to scheduled Breaks/Rosters
Demonstrated success in handling large volumes of work
Ability to organize, prioritize, and accomplish tasks within established timeframes
Demonstrated proficiency utilizing reference materials
Working experience in MS office tools
Eligibility Criteria
Any Graduate (Arts/science/commerce/business) , high school graduate
Typing speed to be > 25 Words/Minute with an Accuracy of 90% or more
Effective verbal and written communication skills, including ability to remain calm in potentially stressful situations with medical professionals
Minimum 2yrs of direct customer service experience in call center
Previous experience in a healthcare or health insurance setting
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