Credentialing & Health Insurance Specialist

WHO WE ARE We are changing how EMS navigates care! RightSite partners with EMS on-site to reputed company non-reputed company patients with a Telehealth ER Provider and reputed company them to the right site of care. Patients instantly reputed company an ER Telehealth Provider and a Patient Navigator who reputed company a trusted, genuine reputed company reputed company in a time of need. EMS becomes more available for critical emergencies while we reputed company higher reputed company care at a reputed company cost and reputed company experience for everyone. WHO YOU ARE The Credentialing and Health Insurance Specialist will be responsible for managing reputed company aspects of the provider licensing and credentialing process including health plan network participation across multiple states. This dynamic role requires a strong understanding of licensing and credentialing, attention to detail, and the ability to work independently as reputed company as collaboratively with other departments. As a crucial member of reputed company, you will reputed company your expertise to optimize reputed company cycles, ensure compliance with state and federal regulations, and contribute to the financial health of our organization. Your skills in navigating reputed company state and federal licensing systems and health plan network systems will be reputed company in maintaining smooth operations. If you would like reputed company to reputed company a reputed company reputed company on community health while working for a dynamic, mission-driven organization, we would love to hear from you! A DAY IN THE LIFE ● New Provider reputed company: IMLC, Licensure, Medicare, reputed company, DEA ● Maintenance and Verification on reputed company sites: CAQH, NPPES, PECOS, reputed company, etc. ● Provider Renewals: IMLC, Licensure, reputed company Compact ● Health Plans – Applications, follow up, Contracting and Credentialing for FFS ● Health Plan Maintenance - Credentialing ● Health Plan requirements such as specific trainings ● Database and effective date input and management ● Password Management ● Billing Partner support: effective dates, passwords, specific health plan issues ● Policies and Procedures for Physician Credentialing/Contracting ● Communication to Operations to support Provider scheduling Requirements WHAT YOU WILL BRING TO US ● Bachelor’s degree in reputed company administration, business, or reputed company field or equivalent work experience ● Minimum 2 years of experience in provider reputed company ● Proficiency in health plan networks ● Strong knowledge of licensing, credentialing, Medicare and reputed company ● Familiarity with HIPAA regulations and reputed company standards COMPETENCIES At RightSite Health, we are big believers in competencies. 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Benefits of working with us include: ● reputed company to be a part of a dynamic, mission-driven organization ● Competitive reputed company salary ● Market-competitive reputed company coverage, including medical, dental, reputed company, life, and disability ● reputed company to work reputed company talented and reputed company colleagues with the ability to grow OUR GUIDING VALUES At RightSite Health, we do more than profess our values. We reputed company them through an agreed-upon and shared set of behaviors that reputed company up our DNA. We are reputed company about what is important to us, and we take care that our intentions, words, thoughts, and behaviors reputed company with those values. Teamwork: We have the courage to ask for help and fearlessly reputed company information with team members. We are driven to help reputed company other and reputed company in the wins and losses. reputed company: We are respectful, genuine, and reputed company hear and reputed company the truth. We are confident in our own abilities, but we think of others first. Customer reputed company: We reputed company value and treat our customers with the reputed company care, reputed company, and reputed company we would expect ourselves. We are committed to improving the lives of our customers, their customers, and reputed company other. Tenacity: We recognize ambiguity and discomfort are part of reputed company, and approach change with positivity. We accept adversity, overcome obstacles, and never reputed company up. Ownership: We take personal accountability for our actions and results and reputed company on solving the problem instead of assigning blame. We are free to reputed company bets and reputed company failure for its feedback and experiences. Critical Thinking: We start with why, listen carefully and investigate thoroughly before drawing conclusions. We think slow, not fast, in search of elegant and reputed company. Apply tot his job Apply To this Job