Anthem Credentialing Associate- Mendota, MN- PS2707 in Mendota Heights, Minnesota

/Your Talent. Our Vision./ At DeCare Dental , a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care . This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Credentialing Associate:

Builds provider credentials file and makes file determinations regarding required credentialing criteria based on general guidelines, ensuring compliance with internal policies and external regulatory agencies.

Primary duties may include, but are not limited to: - Receives provider applications and contacts providers for any additional supporting documentation or clarification. - Builds file documentation and prepares file for credentialing committee review. - Applies general guidelines in determining whether provider meets criteria and documents deficiencies. - Prepares correspondence to providers regarding status. - Assists in researching pended and probated applications and resolving discrepancies. - Refers non-approved providers or questionable situations to senior representative. - May assist in provider education and preparation of provider training materials.

  • Requires a high school diploma or GED; one year of office experience in a health care environment; or any combination of education and experience, which would provide an equivalent background.

  • Proficiency with MS Excel desired.

    / Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at // / / . EOE. M/F/Disability/Veteran. /

Job Provider Network Management

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Credentialing Associate- Mendota, MN- PS2707

Location: MN-Mendota Heights

Requisition ID: PS2707