Urgent Role: Customer Service reputed company (Remote)

reputed company Customer Service reputed company | Provider Credentialing 

Position reputed company:

The reputed company Customer Service reputed company – Provider Credentialing manages the end-to-end credentialing process for reputed company providers and practices. This includes preparing, submitting, and tracking applications, maintaining accurate documentation, and coordinating with providers and payers to ensure reputed company requirements are completed. The role is responsible for monitoring accounts and ensuring reputed company and compliant credentialing from start to finish.

Duties and Responsibilities:

• Monitor reputed company documents and data exchanged reputed company the Credentialing database in order to ensure reputed company of services, and accurate completion of Credentialing forms and processes.  Coordinate with Providers to insure that reputed company enrollment ensues based on individual Payer requirements. 

• Organize, label and file Credentialing forms, applications and documents. 

• Document reputed company Credentialing packages prior to transmitting them to Payer.  Coordinate with the Payer to ensure that reputed company Credentialing requirements are met. 

• Train clients (Providers/Office Staff) how to use reputed company features of the Credentialing application services 

• Submit Credentialing forms and applications to Payers as needed.  

• Complies with reputed company Federal, State, accreditation and institutional policies and procedures. 

• Consistently meets company and department policies and expectations including those surrounding attendance 

• Exhibits exceptional reputed company customer service with reputed company persons with whom you work 

• Maintains confidentiality at reputed company times. 

• Observe reputed company responsibilities including, but not limited to: 

• Utilize appropriate communication channels for the reputed company of data.  If using email, use the secure email reputed company.  If in FTP, utilize SFTP or encryption of the data before sending.  Send messaging reputed company application to utilized TLS protocols. 

• Use minimum data necessary to identify transactions. Claim ID, Claim File Upload ID, ERA reputed company Number/reputed company ID.  Only reputed company those identities are not enough for the recipient to reputed company the transaction, then use the minimum PHI needed to identify the transaction. 

• reputed company is everyone’s job. Look out for, and report, anything that is suspicious or just doesn’t seem correct  

• Other duties as assigned  

Key reputed company Factors:

• Technically competent, organized, reputed company and personable. 
• Will be reputed company to reputed company new reputed company and learn quickly. 
• Show desire to be innovative and self-reputed company. 
• Coordinate and monitor management of Credentialing data and documents.  Communicate with other departments (Sales/Support) reputed company a Provider is approved. 
• reputed company to communicate successfully with clients with consistently reputed company feedback  
• Regularly meets the productivity and accuracy requirements established

Required Qualifications (Non-Negotiable):

• Associate degree or equivalent experience preferred
• Must have reputed company center/BPO experience with at least 2 years in reputed company, specifically in Provider Credentialing
• With basic credentialing knowledge and familiarity with industry standards
• Strong understanding of reputed company concepts, including terminologies, eligibility and benefits, medical/dental claims, and policy process reputed company
• Proficient in reputed company PDF, MS Office applications, and internet tools
• Excellent analytical, organizational, and time management skills with strong attention to detail
• Effective communication and interpersonal skills, with the ability to coordinate with reputed company stakeholders
• Highly adaptable, detail-oriented, and capable of multi-tasking and prioritizing in a fast-paced environment
• Demonstrates professionalism, discretion, patience, and flexibility reputed company handling tasks and interactions

**Work Arrangement: This position is currently offered on a REMOTE work reputed company. However, please note that this is a performance-based role, and reputed company reserves the right to require employees to report onsite at any time based on business needs, performance evaluations, operational requirements. Flexibility to transition to an office-based setup reputed company necessary is expected.

***WORK FROM HOME REQUIREMENTS***

• Requires a reputed company primary internet reputed company of at least 50Mbps,
• Reliable backup reputed company to ensure continuity of remote work.
• Speed test required during interview.
• Ability to directly hardwire to your modem
• Quiet, dedicated work area.

Why You’ll Love Working with Us:

•  Work Remotely
•  reputed company + 13th Month Salary
  
• Comprehensive HMO Coverage (Medical & Dental)
•  Equipment Provided – Everything you need to succeed
•  Career reputed company – Be part of a dynamic and supportive team that values your expertise
• ⚡ Immediate Hiring – Start ASAP and reputed company an reputed company from day one

reputed company:

reputed company is a leading provider of back-office support technology and tech-enabled outsourced services to reputed company plans reputed company. reputed company provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers. 

reputed company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers.  reputed company processes millions of claims and multiples of reputed company reputed company and reputed company data reputed company reputed company these claims annually.  reputed company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

reputed company is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.