The Credentialing Specialist is responsible for coordinating the Farm Bureau Health Plan (FBHP) provider credentialing, re-credentialing and enrollment process. The Credentialing Specialist will monitor our delegated entities as well as collaborate with any Centralized Verification Organization (CVO) we elect to work with to assure full compliance with the Provider Participation Agreement, Facility Participation Agreement, FBHP policies & procedures, industry best-practices and state and federal regulatory requirements. This position will also support the Credentialing and Peer Review Committee in its deliberations assuring compliance with State, Federal and NCQA requirements.
Education: Must have a Bachelor’s Degree or High School diploma and additional related equivalent work experience. CPCS certification is a plus.
Work Experience: 2+ years’ work experience or equivalent combination of transferable experience and education.
Skills/ Competencies: A successful candidate for the Credentialing Specialist position will possess the following skills and/or competencies:
Working knowledge and understanding of medical insurance industry and managed care organizations
Advanced skills in MS Word, Outlook, PowerPoint and Excel;
Excellent communication and interpersonal skills;
Strong organizational and multi-tasking skills;
Excellent analytical and problem-solving abilities;
Attention to detail, even under pressure;
Time management skills with the ability to meet deadlines;
We’ve gotcha covered with…
- More than 190 customer service representatives in every county of the state
- A wide range of affordable choices of health plans
- More than 70 years of expertise and experience (since 1947) in meeting the health coverage needs of Tennesseans
- Financial stability and strength to provide peace-of-mind for all of our 170,000+ members
Farm Bureau Health Plans Representatives are in more than 190 offices across Tennessee (at least one in every county) to provide superior customer service and an exceptionally wide variety of health care coverage options.
We are the only health coverage company in the state that has customer service representatives so closely located to so many Tennesseans.
For most Tennesseans, having choices of levels of coverage, deductibles, copayments and other plan features are important. So Farm Bureau Health Plans offers an extensive range of plans, including:
Comprehensive Health Coverage Plans
Short Term Coverage
Health Savings Account-Qualified High Deductible Health Plans
More than 170,000 Tennesseans are protected by Farm Bureau Health Plans coverage.
With this strength, stability, time-proven expertise and experience, Farm Bureau Health Plans works every day to meet the health care coverage needs of its members with quality and affordable protection.
FARM BUREAU HEALTH PLANS ALSO PROUDLY SPONSORS AND SUPPORTS THESE ORGANIZATIONS:
Future Farmers of America
Young Farmers & Ranchers
Agriculture In The Classroom
4-H Health Nursing Scholarships
Columbia State Nursing Scholarship Program
Boy Scouts of America
Center of Hope
The Family Center
Youth Educational Foundation
Second Harvest Food Bank of Middle TN
Boys and Girls Clubs of America
Maury Regional Healthcare Foundation