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
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!