Certify
Certify is a company that specializes in provider data technology to streamline healthcare management processes. Their platform allows for quick verification and credentialing of healthcare providers, real-time monitoring, and efficient network management. By automating data integration, Certify reduces manual workflows, increases efficiency, and decreases operational costs in the healthcare sector. Their services include credentialing, medical licensing, monitoring provider status, payer enrollment, and roster management, catering to health plans, systems, and digital health companies. Certify emphasizes transparency, speed, and easy data access through its integrated system, supporting optimal healthcare operations.
Quality Assurance Auditor
June 3, 2024
Certify
Certify is a company that specializes in provider data technology to streamline healthcare management processes. Their platform allows for quick verification and credentialing of healthcare providers, real-time monitoring, and efficient network management. By automating data integration, Certify reduces manual workflows, increases efficiency, and decreases operational costs in the healthcare sector. Their services include credentialing, medical licensing, monitoring provider status, payer enrollment, and roster management, catering to health plans, systems, and digital health companies. Certify emphasizes transparency, speed, and easy data access through its integrated system, supporting optimal healthcare operations.
📋 Description
• Build a comprehensive, effective and efficient audit process • Complete initial and ongoing quality audits for credentialing applications • Perform audit reviews in a timely, efficient, and accurate manner • Provide constructive feedback and education to peers and assigned teams • Utilize audit results to identify, document, test the effectiveness of internal • processes and controls and develop sound conclusions • Track and trend audit results and notify leadership to administer appropriate team members' education and coaching.
🎯 Requirements
• 2+ years of credentialing, provider data management, auditing, or healthcare operations experience • 1 year credentialing auditing experience or similar • Professional written and verbal communication skills • Close attention to detail and ability to use audit process techniques • Knowledge of NCQA credentialing standards preferred
🏖️ Benefits
• Not specified
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