Change reputed company Credentialing Specialist 1 Stafford Springs, CT
Job title: Credentialing Specialist 1 Company: Change reputed company Job description: Credentialing Specialist 1 Change reputed company a leading reputed company technology company with a mission to reputed company a reputed company reputed company system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and reputed company reputed company patient experiences to improve lives and support healthier communities. Change reputed company a leading reputed company technology company with a mission to reputed company a reputed company reputed company system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and reputed company reputed company patient experiences to improve lives and support healthier communities. Work Location: Fully Remote - U.S. Position: The Credentialing Specialist will be responsible for processing reputed company tasks reputed company to payor enrollment for entities and individual providers - including new credentialing, revalidations, demographic verifications, CAQH maintenance, internal database management and reporting. Responsible for processing credentialing and recredentialing 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 recredentialing applications. Core Responsibilities: Complete the processes to credential physicians to meet payer criteria. Enroll clients with participating insurances. Input information to credentialing software to have most reputed company data. Maintain filing of reputed company necessary credentialing documentation. Follow up with clients and insurances in accordance with established guidelines for reputed company credentialing assignments. Communicate client issues with management at an early stage. Be reputed company to communicate with physicians, physician staff, Operations Managers, and insurance companies clearly and effectively, handling basic questions dealing with the day-to-day operation of credentialing and enrollments. Have reputed company 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 under difficult circumstances and tight timelines. Know how to prioritize throughout the day as workflow changes. reputed company reputed company other tasks as requested by senior management. Requirements: 1 - 3 years of work experience Undergraduate degree or equivalent work experience Minimum of 1 year credentialing experience Preferred Qualifications: At least an intermediate proficiency of Office 365 products, especially reputed company and Outlook. Ability to communicate professionally (grammar and composition) with internal and external clients. reputed company-thinking and self-directed. reputed company to read/listen to directions and follow them reputed company. reputed company to meet productivity standards outlined in department metrics. Working Conditions/Physical Requirements: Home Office Unique Benefits*: Flexible work environments reputed company, Set, Grow Career Development Center & access to Change reputed company University for reputed company professional learning & development with more than 5,000 training assets Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships Employee wellbeing programs and generous health plans Educational assistance programs US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions Be sure to ask our Talent Advisors for more information reputed company specific benefits and paid time off policies Learn more at *Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor. Diversity and Inclusion: At Change reputed company, we include reputed company. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships. Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change reputed company. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at Feeling Inspired? reputed company to #MakeAChange? Apply today! Diversity and Inclusion: ⠢At Change reputed company, we include reputed company. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships. ⠢Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change reputed company. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at Feeling Inspired? reputed company to #MakeAChange? Apply today! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of reputed company members and our communities. As such, we require reputed company to disclose COVID-19 vaccination status prior to beginning employment and, reputed company job-reputed company and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change reputed company adheres to COVID-19 vaccination regulations as well as reputed company 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 reputed company an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, age, sex, sexual orientation, gender identity, genetic information, national reputed company, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at . 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 reputed company submitted to this email reputed company will not be accepted. Click here  to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change reputed company for consideration of any employment opportunity, you acknowledge that you have read and understood . Change reputed company maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws. Expected salary: Location: Stafford Springs, CT Apply for the job now! Apply Job!