Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Annual paid Charity Day to give back to a cause meaningful to you
- Comprehensive benefits package, including Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance
- 3-week Paid Time Off plus paid holidays
- 401K with company match
- Supportive and inclusive work environment that values diversity

What to Expect (Job Responsibilities):
- Oversee and respond to group, location, and provider enrollment with health plans, including Medicare and Medicaid
- Maintain timely and accurate data entry in the credentialing database and revise practitioner data as necessary
- Complete provider credentialing and re-credentialing applications and monitor applications for enrollment with contracted health plans
- Collaborate with HR to facilitate onboarding for all practitioners and communicate with field staff regarding credentialing requests
- Uphold Federal & State regulations related to credentialing and licensing of clinicians’ agencies

What is Required (Qualifications):
- High school diploma or equivalent experience
- Prior experience in the Medical Credentialing Process and Revenue Cycle
- Attention to detail and strong self-motivation
- Ability to establish and maintain effective working relationships with providers and staff
- Proficient in Microsoft Office applications (Word, Excel, Adobe) and internet resources

How to Stand Out (Preferred Qualifications):
- Experience with the CAQH system for submitting practitioner data
- Familiarity with online payer systems and credentialing processes
- Strong organizational skills and ability to manage multiple priorities and deadlines
- Excellent communication skills, both written and verbal

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