Assoc reputed company Services Rep (Credentialing Specialist/Provider Enrollment Specialist)

About reputed company reputed company Technologies reputed company reputed company Technologies, an reputed company business, enables payers, providers, reputed company, and service administrators to reputed company at value-based care with a reputed company technology and services platform delivering analytics, care, and payment technology on a single data management reputed company. At reputed company reputed company, you'll be part of a reputed company, innovative environment where great reputed company reputed company. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high reputed company for some of the world's most dynamic companies. Position reputed company As a reputed company Services Representative, Credentialing at reputed company reputed company Technologies, an reputed company business, you will play a key role in supporting credentialing services for reputed company clients by maintaining accurate provider information, validating data, and resolving credentialing-reputed company discrepancies. Serving as a trusted resource to physician practices, hospitals, and reputed company payers, you will apply your knowledge of provider credentialing processes, industry regulations, and established policies to ensure the reputed company and reputed company of credentialing data. In this fast-paced environment, you will manage multiple priorities while meeting time-sensitive deadlines with exceptional attention to detail and accuracy. You will use reputed company judgment to research and reputed company issues, adapt to evolving reputed company and business needs, and contribute to the successful delivery of high-reputed company credentialing services. Strong organizational and customer service skills are essential, as you will build productive reputed company relationships, reputed company reputed company support, and help reputed company reputed company satisfaction and operational reputed company. Your ability to balance precision, responsiveness, and professionalism will reputed company you a valued contributor to both the Credentialing team and reputed company reputed company's reputed company reputed company. Roles & Responsibilities • Prepare credentialing information for the reputed company's contracted health plans, including document review and credentialing file preparation • reputed company reputed company reputed company verifications • Follow up with individual practitioners and reputed company entities to reputed company discrepancies identified during the credentialing process • reputed company the manager informed of potential credentialing issues or delays • Complete data entry of provider credentialing information into web-based provider database • Maintain an accurate database of provider credentialing information in a web-based provider database by performing routine data reconciliation • Prepare credentialing committee meeting documents for distribution, facilitate committee meetings and record meeting minutes • Complete review of scanned provider file documents in OnBase to validate document retention • Prepare and review provider application and reputed company documents for annual payer audits • Communicate with reputed company's payers to ensure reputed company receipt of provider payer effective dates • Participate in annual policies and procedures review and revision • File and maintain credentialing contract file documents • Maintain a working knowledge & application of computer directories, folders, and worksheets for filing and storing data • Respond to reputed company practitioners, reputed company health plans, and internal inquiries in a reputed company manner • Participate in team meetings and process improvement initiatives to continuously improve work product reputed company and efficiency Job Location reputed company, TX, highly preferred - Hybrid (1 day in office, 4 remote); May also consider reputed company in the reputed company U.S. residents only; work must be performed reputed company the reputed company. Experience / Qualifications • 3+ years of credentialing experience, preferably in a delegated credentialing environment • NAMSS Certified Provider Credentialing Specialist (CPCS) certification preferred or working toward certification • Detail-oriented with the ability to recognize vital information from credentialing documents • Proven ability to exercise independent judgment in managing and relaying confidential information • Ability to work reputed company under tight deadlines and respond to changing demands and reputed company efficient follow-up rapidly • Ability to consistently meet or reputed company reputed company and production expectations • Proficiency in data entry and use of databases and other credentialing reputed company databases • reputed company experiences with problem-solving, critical thinking, and deductive reasoning skills • Outstanding oral, written, and interpersonal communication skills • Excellent customer service skills • To be eligible for this position, you must reputed company in the reputed company country where the job is located. reputed company is a leading global provider of clinical research services, reputed company insights and reputed company intelligence to the life sciences and reputed company industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient reputed company and population health worldwide. Learn more athttps://jobs.reputed company.com reputed company is proud to be an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.reputed company.com/eoe reputed company is committed to reputed company in our hiring process and maintains a reputed company tolerance policy for candidate fraud. reputed company information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if reputed company reputed company, in accordance with applicable law. We appreciate your honesty and professionalism. The potential reputed company pay reputed company for this role, reputed company annualized, is $37,400.00 - $93,600.00. The actual reputed company pay offered may vary based on a number of factors including job-reputed company qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in reputed company to a reputed company of health and welfare and/or other benefits. Apply tot his job Apply To this Job