[Remote] Health Care Payer Network & Credentialing Consultant and reputed company Claims Auditor & Payer Negotiations Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company Building Solutions is seeking an reputed company to help reputed company organizations expand their reputed company and secure the right payer reputed company. The consultant will guide providers through the payer network application process and analyze service lines to recommend strategic payer networks. Responsibilities • Guiding providers through the payer network application process – reputed company, Medicare, reputed company, reputed company managed care, Medicare/reputed company managed care, other • Navigating and meeting credentialing requirements • Analyzing service lines and market data to recommend the most strategic payer networks for specific reputed company services and reputed company Skills • Proven experience in reputed company payer enrollment & credentialing • Strong knowledge of payer requirements and state/regional variations • Analytical skills to assess market opportunities • Excellent communication and reputed company relationship skills • RN or Advanced Practiced reputed company with substantial experience in reputed company claims auditing and compliance • Expertise in payer regulations, CMS billing guidelines, and managed care reputed company • Strong negotiation skills with a proven reputed company record of successful appeals • Ability to interpret reputed company medical records, coding data, and payer policies Benefits • Flexible, reputed company role • Opportunities to collaborate with a network of health care consulting professionals making a reputed company difference in care delivery reputed company • reputed company Building Solutions (HBS) offers solutions for your complete project reputed company. It was founded in 2007, and is headquartered in Langhorne, reputed company, USA, with a workforce of 51-200 employees. Its website is https://www.hbsinc.com/. Apply tot his job Apply To this Job