Covid-19 update: Thank you for your interest in Sutherland. During these unprecedented times, Sutherland is committed to ensuring a healthy working environment for our people, their families, and the communities in which we operate. Where possible, we...
Covid-19 update: Thank you for your interest in Sutherland.
During these unprecedented times, Sutherland is committed to ensuring a healthy working environment for our people, their families, and the communities in which we operate.
Where possible, we are enabling our people to work from home.
When it is necessary for our people to work from a physical location, we have implemented enhanced health and safety protocols in all of our office locations.
Our job listings will indicate if positions are full-time work from home, temporary work from home to start with an eventual return on-site, or full-time on-site.
We have introduced a fully virtual interview and onboarding experience for the majority of our positions, which will also be outlined for you during the application process.
We are still actively hiring in all of our locations, so we encourage you to apply for positions of interest or join our Talent Community if none of our current openings match your skills, location, or interests so that a recruiter may contact you if there is a match.
Thank you for your continued interest!
Drive meaningful connections at Sutherland Work on interesting projects wherever you are, at home or in one of our offices around the world.
At Sutherland, you will work with great people on interesting projects with some of the world's biggest brands.
Here, you'll develop new skills and experiences while tackling challenges in a supportive environment.
Here, you'll keep your passions and interests alive because we believe your unique perspective adds value to your work.
Job Description:

Sutherland is seeking for 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 what?s 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
licensing boards for missing information; confirm accuracy of data that has been presented.

Qualifications:

Our most successful candidates will have:
Full working knowledge of provider credentialing and current URAC standards

High School Diploma or equivalent (Bachelor?s 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

Our Commitment Our workforce has thrived in an environment of diversity of thought, experience and background.
We celebrate our diversity and embrace it whole-heartedly.
Sutherland is an equal opportunity employer.
It is our policy to engage in personnel decisions, including those related to recruitment and hiring, and to administer our personnel policies without regard to race, color, religion, creed, age, gender or sex (including pregnancy), national origin or ancestry, disability, veteran's status, genetic information, or any other legally protected characteristic.
There is no place for disrespect for cultural differences or insensitive stereotypes.
We promote a positive work environment by conducting ourselves professionally and helping each other achieve our goal of One Sutherland Team, Playing to Win.
There have recently been several recruitment frauds operating in different parts of the world where individuals are contacting job seekers claiming to represent Sutherland.
These fraudulent activities can include but are not limited to: job postings offering roles, interview invitations, or asking for payments to cover a range of expenses and administration costs.
When applying for roles with Sutherland, you will be contacted in one of the following ways:
A direct phone call from a member of the Sutherland Talent Acquisition team or Human Resources
Correspondence through our Careers site
- with a e-mail address
E-mail directly from a Talent Acquisition or Human Resources team member with a e-mail address or communication through LinkedIn or Indeed
Applications are only accepted through our applicant tracking system.
Our recruitment team will not ask for you to provide personal identifying information such as a social security number, birth certificate, financial institution, driver's license number, or passport information over the phone or via e-mail.
If you are a victim of identity theft, contact your local police department.
Sutherland will never ask for you to provide any kind of payments or deposit in order to apply, interview, hire, or onboard to our company.

¡No te pierdas nada!

Únete a la comunidad de wijobs y recibe por email las mejores ofertas de empleo


Nunca compartiremos tu email con nadie y no te vamos a enviar spam

Suscríbete Ahora

Últimas ofertas de empleo de Sanidad y Salud en Madrid

Stock Associate

27 mar.

Michael Kors

Madrid, ES

STOCK ASSOCIATE "I feel reallyluckyto be surrounded by such a great team. I’m not only grateful that they’ve helped...

Ayuntamiento de Tres Cantos

Madrid, ES

gavel Contrato Contrato de trabajo indefinido alarm Turno de mañana (L-V) Compartir : Tres Cantos , MADRID Vacantes 2...

CUIDADOS SENIOR SL

Arganda del Rey, ES

SOLO CON PAPELES EN REGLA Se busca auxiliar de enfermería para 18 horas semanales . Mañanas en Arganda del Rey. Funciones...

Aston Herencia

Madrid, ES

Nos gusta lo que hacemos! Trabajamos en una actividad apasionante, con una importante aportación social que nos exige la...

Amazon

Madrid, ES

Description At Amazon, we strive to be Earth's most customer-centric company where people can find and discover anything...

GRUPO VITALIA HOME

Rozas de Madrid, Las, ES

Fecha 13/03/2024 Correo electrónico de envío [email protected] Domicilio del centro de trabajo C/Chile...

Kidactica, Aprendizaje y Comunicación

Madrid, ES

Psicóloga Sanitaria Responsabilidades Se necesita psicóloga para 2 tardes a la semana (jueves y viernes), en nuestro...

DUE-ENFERMERO/A

20 mar.

Clínica CEMTRO

Madrid, ES

Clínica CEMTRO, institución de referencia de deportistas de élite de toda España, clínica de reconocimiento...

Auxiliar

19 mar.

Ceo Dental Las Rozas

Rozas de Madrid, Las, ES

Buscamos Auxiliar / Higienista con al menos 2 años de experiencia en Clínica dental .

MyGermanWay

Madrid, ES

Para varias clínicas y hospitales colaboradores de Alemania buscamos a jóvenes técnicos de radiología con radioterapia y...