Job Information
Triple-S Credentialing Quality Audit Specialist in San Juan, Puerto Rico
Under general supervision, performs the Credentialing and Re-credentialing audits and monitoring for Providers (individuals and facilities) according to the regulations and standards established by the federal and local regulatory agencies, and in accordance with company’s policies and procedures. Updates Credentialing Software and Electronic Tools. Provides guidance and expertise to other Credentialing personnel in the most complex questions of credentials. Participates during audits. Participates in special assignments. Provides training and assists in the maintenance of department standard operating procedures.