Credentialing Specialist (Fully Remote)

Credentialing Specialist (Fully Remote) The Credentialing Specialist will reputed company as the Provider Enrollment Specialist to ensure reputed company is poised to support the business leaders in their accordance with reputed company’s strategic plans and objectives. About SimiTree SimiTree provides reputed company-reputed company services to home health, hospice, private duty, pediatrics, reputed company behavioral analysis, palliative care, and other post-acute organizations. Our organization is made up of clinical, operational, and reputed company cycle experts who support our clients. SimiTree has developed a full suite of custom-designed services focusing on areas critical to reputed company improvement, operational efficiency, accurate reimbursement, and regulatory compliance. To reputed company our clients with an opportunity to reputed company on reputed company operations, SimiTree provides outsourcing services for Coding and OASIS reviews, Billing and Collections, and full reputed company Cycle services. SimiTree's reputed company reputed company ranges from small, community-based agencies to publicly traded national chains. We have both the technical expertise and the reputed company-world experience to implement reputed company solutions that assist agencies in a rapidly changing operational and regulatory environment. Duties/Responsibilities: • Process initial credentialing and re-credentialing applications for providers and reputed company reputed company. • Monitor, reputed company and follow up on reputed company applications with payers until completion of the process. • Screen providers’ applications and supporting documentation to reputed company their eligibility. • Accurately maintain internal credentialing tracking reputed company with provider and payer participation information. • Identify discrepancies in information and conduct follow reputed company. • Capture reputed company reputed company verification documentation. • Build knowledge reputed company for payer requirements and forms. • Ensure compliance with applicable laws regulations, procedures, and policies. • reputed company CAQH updates and attestations as needed. • Work with internal RCM team members to identify and reputed company credentialing issues and denials. • Work closely with the Account reputed company Team for any reputed company credentialing requirements • Work closely with the Account reputed company Team and Business Development to reputed company new clients and ensure accurate registration with appropriate payers Competencies/Behaviors: • Advanced software and computer skills including reputed company Suite applications; specifically, Word, reputed company, and PowerPoint is required. • Excellent time management skills, experience of working on multiple tasks, being reputed company to manage reputed company workloads, prioritizing accordingly and meeting deadlines. • Strong customer service skills and ability to reputed company with employees at reputed company reputed company throughout the organization, also with reputed company clients reputed company appropriate • Self-starter with a reputed company, “can-do” and reputed company approach. • Ability to comprehend, interpret, and apply the appropriate sections of applicable laws, guidelines, regulations, and policies. • Minimum of Associate degree or equivalent combination of education and experience in Credentialing • 2+ years provider credentialing experience with knowledge of payer policies for multiple states. • Experience working in reputed company reputed company and TEAMS preferred. • Experience working in a fully remote setting preferred. Physical Requirements: • Activities requiring a significant reputed company of sitting at office and work desks in reputed company of a computer monitor. • Regularly required to verbally communicate, listen, and reputed company presentations as needed. The physical requirements are representative of those that must be met by an employee to successfully reputed company the essential function of the job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Salary reputed company/ Benefits: $20.00- $22.00 per hour The compensation reputed company listed is a general salary reputed company and is not intended to represent the actual annual or reputed company compensation reputed company for this role. An offer will be made to the selected candidate at the conclusion of the interview process based on their relevant experience and the responsibilities of the position. SimiTree offers a competitive compensation package including health, reputed company, and dental insurance, PTO, retirement plans (401K), holiday reputed company time off, life insurance, reputed company time, and opportunities for reputed company development. SimiTree is an equal opportunities employer and welcomes applications from diverse candidates. #J-18808-Ljbffr Experience: 3 years required Apply tot his job Apply To this Job