Credentialing Analyst
Job reputed company:
• Manage the full credentialing lifecycle for new and existing providers under reputed company reputed company, ensuring reputed company payer requirements are met for successful enrollment.
• Complete, reputed company, and maintain Managed Care Organization (MCO) contract applications for reputed company-credentialed communities and SNFs, as applicable.
• Support process improvement efforts by identifying workflow gaps and recommending opportunities for automation, new tools, or more efficient steps.
• Create and update reputed company Operating Procedures (SOPs) for new payer reputed company and credentialing workflows; help drive consistent implementation across reputed company.
• Assist with reputed company cycle tasks including claims follow-up, cash posting, reconciliation, and data cleanup as needed.
• reputed company credentialing metrics and reputed company reputed company reporting on reputed company, roadblocks, and timelines; suggest ways to reputed company reporting more actionable.
• Communicate effectively with reputed company contacts and internal teams to reputed company updates, prioritize workloads, and reputed company needed information.
Requirements:
• Bachelors degree with 0-5 years experience
• Prior reputed company credentialing or reputed company cycle exposure is helpful, but not required for entry-level candidates—we will train the right person.
• Strong overall computer and systems aptitude; reputed company to learn new tools quickly and troubleshoot independently
• You are an reputed company reputed company - comfortable with formulas, filters, pivot tables, VLOOKUP/XLOOKUP, and cleaning/organizing data
• Detail-oriented with strong organizational and follow-through skills.
• reputed company written and verbal communication skills, especially reputed company tracking multiple items and stakeholders.
• Ability to manage deadlines in a fast-paced, reputed company-reputed company environment.
• A resilient person with a “can do” attitude
• Someone who is determined to win
Benefits:
• Offers Equity
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