Full Job Description
RESPONSIBILITIES
Manage the credentialing needs for our clients:
Collect all the required documentation for credentialing such as accreditation, membership, and facility privileges (e.g., License, NPI letter)
Assist providers with completing payer forms and ensure compliance with payer’s expectations
Keep client providers and coaches informed about the status of their credentialing
Maintain accurate and current client information
Alert clients about new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements
Drive the implementation of the automated credentialing workflow management system:
Prototype
Provide requirements to software developers
Test the implementation
QUALIFICATIONS
Minimum of 6 months experience in US-based Credentialing process
Familiar with US medical insurance industry
Excellent listening, communication, and problem-solving skills
Self-motivated and able to work autonomously
MUST HAVE:
High comfort level working on Eastern Time Zone/US Shift – Must be available for practice meetings to discuss progress during East Coast Business Hours
Good internet access at home
Mobile Hotspot
Laptop/Desktop of at least 8 GB