Employer: Change Healthcare
Overview of Position
- Processes 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?
- Excellent understanding of the credentialing process
- Familiarity with CAQH, PECOS, Payer Online Portals
- Capable of successfully completing credentialing applications with limited supervision
- 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
- 3 years of hands on work within credentialing process
- Excellent understanding of the credentialing process
- Familiarity with CAQH, PECOS, Payer Online Portals
- Capable of successfully completing credentialing applications with limited supervision
Computer literate
What other skills/experience would be helpful to have?
- Organized
- Detail Oriented
- Ability to multi-task
- Work well with others
- Computer literate
- What are the working conditions and physical requirements of this job?
- General office duties and conditions
Responsibilities
- Complete the processes to credential physicians to meet payer criteria.
- Enroll clients with participating insurances.
- Input information into credentialing software accurately and timely.
- Maintain filing of all necessary provider enrollment documentation to maintain active enrollments.
- Follow up with clients and insurances in accordance with established guidelines for all enrollment task assignments.
- Communicate client issues with management at an early stage.
- Be able to clearly and effectively communicate with physicians, physician staff, Operations Managers and insurance companies handling questions dealing with the day-to-day operations of provider enrollment
- Have prompt response time to voice mail, email and other requests whether it is from supervisors, co-workers or clients.
- Have professional verbal and written communication skills.
- Work well with in a fast paced environment
- Know how to prioritize throughout the day as work flow changes.
- Perform all other tasks as requested by senior management.
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.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected] with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted.
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.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Full time
R24679
About Us
Here at Change Healthcare, we’re creating a strong and more efficient healthcare system, and we want motivated and passionate people to help us continue to bring new and innovative ideas to life. It takes teams of talented individuals working together to accelerate our journey toward improved lives and healthier communities and really make an impact.
If you’re looking to maximize your potential and do what you love with a company that’s committed to supporting your future, then you belong at Change Healthcare.
Our core values to Pursue Purpose, Champion Innovation, Earn Trust, Be Agile, and Include All drive everything we do. Are you ready to join our cause and Make a Change?
Empower Your Future. Make a Difference.
At Change Healthcare, we understand that diversity and inclusion are at the very core of our culture. By celebrating diversity and fostering an inclusive environment we enrich our team member experience, broaden our thinking, and increase our ability to innovate and grow in an ever-changing healthcare industry.
