Senior Credentialing Specialist

Company: Change Healthcare
Location: Tallahassee
Posted on: May 15, 2022

Job Description:

Senior Credentialing Specialist Overview of PositionProcesses high volume credentialing and re-credentialing applications and/or enrollments of health care providers, responsible for entering, updating, maintaining NPI and any other applicable provider numbers into the system. Reviews applications prepares verification letters and maintains database. Contacts medical office staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications.What will be my duties and responsibilities in this job?+ Must have ability to work with health care acronyms, able to differentiate between provider titles, download the providers applications using the Internet+ Meet productivity standards as outlined in client metrics+ Identify any issues or trends and bring them to the attention of management team+ Work on special projects as assigned + Train other team members as assigned+ Other duties as assigned+ Enrollment with Government payers in multiple States across the U.S.What are the requirements needed for this position?+ Undergraduate degree or equivalent work experience+ 3+ years' work experience within credentialing process+ Computer literate+ Excellent understanding of the credentialing process+ Familiarity with CAQH, PECOS, Payer Online PortalsWhat other skills/experience would be helpful to have?+ Capable of successfully completing credentialing applications with limited supervision + Organized+ Detail Oriented+ Ability to multi-task+ Work well with othersWhat are the working conditions and physical requirements of this job? Remote work from home Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Keywords: Change Healthcare, Tallahassee , Senior Credentialing Specialist, Other , Tallahassee, Florida