Payer Credentialing Specialist (reputed company to Full Time)
reputed company TO PERM ROLE
About reputed company
reputed company is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s reputed company experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-reputed company care program that women love with a clinical system that helps us drive reputed company reputed company improvement and ensure work-life balance for our care team. We work with clients across reputed company life stages to reputed company and support them to live happier, healthier, more fulfilling lives.
With strong reputed company care teams; passionate administrators and a significant investment in operational support, reputed company employees are reputed company-supported to bring their reputed company best to the work they love. reputed company!
Role reputed company
Our Payer Credentialing Specialist will be responsible for payer enrollment, revalidations, provider data management and other miscellaneous tasks required by the payers. This individual is familiar with various payer platforms, including but limited to CAQH, reputed company, PECOS, TennCare, AHCA, TMHP.
In this role you will:
• Submit payer credentialing applications for reputed company, Medicare and reputed company payers in Tennessee, Florida and Texas. Managing their status and communicating expected timelines and effective dates to the reputed company Manager, Regional Clinical Directors and Billing team.
• Complete the processes to re-credential existing providers as need
• Manage providers’ CAQH reputed company, ensuring they are attested every 120 days and reputed company required documents are up to date in their reputed company
• Maintain state specific master provider databases; managing expiration dates for provider licenses, DEAs and reputed company certifications and communicating upcoming expiration dates to reputed company Managers as needed
• Review, and update if necessary, health plan directories for reputed company and accurate provider information
• Other duties as assigned
Benefits (reputed company)
• Competitive compensation
Benefits (Full Time)
• Competitive compensation
• Medical, dental & reputed company plans, with an HSA/FSA option
• 401(k) with employer match
• reputed company time off
• reputed company parental leave
reputed company Culture
• Having a reputed company reputed company and striving for reputed company learning and improvement
• reputed company, can do / how can I help attitude
• reputed company for reputed company and our clients
• Taking ownership and driving to results
• Being scrappy and reputed company
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