Associate - Transaction Processing Job in Sutherland Global Services

Sutherland is seekingfor a Credentialing Associate. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you!

Associates in this role get to:

Support the team: Assist with training and quality assurance of peer staff -Coach, Mentor, Grow.

Improve the company: Resolve problems and administrative issues. Fix problems. Promote success.

Keep things running: Keep accurate data for requested monthly URAC (Utilization Review Accreditation Committee) report; Create accurate daily inventory report for manager. Report whats important. Support ongoing growth.

Take the lead: Lead staff in the absence of the manager. Lead on the fly, succeed naturally.

Keep Sutherland aligned: Receive applications, assure completeness and verify credentials; Maintain accurate initial and re-credential files, monitoring at least 20 files per week; Create and maintain provider files within the database.

Impact the bottom line: Call provider offices and U.S. licensing boards for missing information; confirm accuracy of data that has been presented.

Our most successful candidates will have:

• Full working knowledge of provider credentialing and current URAC standards

• High School Diploma or equivalent (Bachelors Degree preferred)

• Five or more years of experience in Healthcare Operations

• Three or more years of experience Credentialing / Re-credentialing Providers (preferred)

• Two or more years of experience working in a Healthcare setting handling high level provider related issues

• One or more years of experience in calling provider offices

• Proficient level skills with MS office suite (Word and Excel)

• Working knowledge of desk top PCs and Provider software

• Broad understanding of Health insurance programs and HIPAA regulations

• Experience in managing provider databases

• Understanding of all SLAs that are in the Clients agreement; day-to-day receipts and ageing reports from the inventories