Sr. Credentialing Specialist

Sr. Credentialing Specialist

15 Jan 2024
South Carolina, Columbia, 29201 Columbia USA

Sr. Credentialing Specialist

Vacancy expired!

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! COVID MandateAs a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment. As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved. 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/OFCCPEEOSupplementFinalJRFQA508c.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%20EnglishformattedESQA508c.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.

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