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Administrative Assistant

Company: RightPro Staffing
Location: Virginia Beach
Posted on: June 9, 2021

Job Description:

Administrative Assistant - Credentialing-Claims Virginia Beach, VA

Administrative Assistant - Credentialing-Claims Virginia Beach, VA

Administrative Assistant - Credentialing-Claims


  • Conducts audit assignments, reviewing the efficiency and effectiveness of departmental operations, the adequacy of internal controls, and verifying compliance with policies and procedures, regulatory and contractual requirements.
  • Ensures all existing OHP contracts, agreements, and regulatory requirements are correctly and effectively administered.
  • Provides clerical and administrative support to a management level(s), department, or group of professionals.
  • Follows established policies and procedures and instructions in the performance of duties, with the opportunity to use discretion.
  • Performs general office duties such as DATA ENTRY or experience with PROVIDER NETWORK, answering telephone calls and making appointments; composing correspondence; collecting, compiling and analyzing information and data; providing information on inquiries; may pick up and distribute incoming mail and faxes; may fax outgoing documents; maintains and updates office supplies and assists in the maintenance of department files.
  • May process invoices, handle confidential records and information, and/or make travel arrangements.
  • Uses discretion in making decisions regarding planning, organizing, and scheduling work.
  • Provides general typing and word processing support.
  • Uses computer software such as word processing, spreadsheets, and graphics software.
  • Maintains in-depth working knowledge of all subsystems and other related software necessary to perform job duties.
  • Understands the relationship between and implications of changes across subsystems; able to develop and write technical procedural documentation.
  • Final responsibility for the configuration and maintenance of the subsystems which includes, but is not limited to the provider network, fees, benefits administration, and all regulatory requirements.
  • Analyzes new system configurations, evaluates proposed policy change impacts, reviews unused subsystems, and previews new system releases to ensure operational excellence for OHP.
  • Serves as a primary system expert for managers and configuration analysts as well as regional and external customers.
  • Provides support in various clerical functions, as defined at the time of the request.


  • The ideal candidate should have a background in credentialing, provider relations, and provider network reps or claims processors.
  • This role provides clerical and administrative support to a management level(s),
  • Mastery in both the behavioral health and medical book of business.
  • Must successfully pass off on all training and testing material, including Word and Excel.
  • Demonstrates mid-level configuration knowledge and skills.
  • Moderate proficiency in letter writing, Excel, downloading hold entries and running a provider get list.
  • This assignment will take place in a Sentara facility that does not provide patient care.

Keywords: RightPro Staffing, Virginia Beach , Administrative Assistant, Other , Virginia Beach, Virginia

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