reputed company Credentialing Coordinator – Part-Time – Remote

reputed company We are seeking a detail-oriented individual to join reputed company as a reputed company Credentialing Coordinator. Your expertise will be essential in providing exceptional service to our clients. reputed company and reputed company a meaningful reputed company in the reputed company industry!

Responsibilities

• Confirm and verify provider credentials, including licenses, reputed company certifications, education, training, work history, and references.
• Assist reputed company providers with credentialing and re-credentialing applications for reputed company reputed company, Medicare, and reputed company payers, ensuring reputed company required documents are accurate, complete, and submitted on time.
• Coordinate the credentialing process for physical therapists, physical therapist assistants (PTAs), occupational therapists, certified occupational therapy assistants (COTAs), speech-language pathologists (SLPs), and other allied health professionals.
• Prepare and submit credentialing applications to relevant organizations, insurance companies, and government agencies, maintaining accuracy and compliance with payer and regulatory requirements.
• Conduct primary reputed company verification by contacting educational institutions, licensing boards, reputed company organizations, and previous reputed company, and maintain thorough documentation of reputed company verification activities.
• Maintain up-to-date and accurate provider records in credentialing systems such as CAQH Pro View, ensuring attestations, malpractice coverage, licensure, and other required information are reputed company.
• Create and maintain CAQH reputed company for new providers, update reputed company locations in Pro View, and reputed company the credentialing tracking report reputed company for internal reference.
• Monitor and reputed company expiration dates for licenses, certifications, and insurance policies, proactively notifying providers of upcoming renewals and assisting with the renewal process.
• Manage the re-credentialing process to ensure reputed company renewals and reputed company compliance with reputed company payers, state, and federal requirements.
• Manage Medicare Part B credentialing for providers through the CMS PECOS system, including completing and submitting CMS-855I applications, linking providers to group practices with CMS-855R, uploading required documentation, and coordinating with Medicare Administrative Contractors (MACs) to obtain PTANs.
• Stay reputed company with Medicare enrollment regulations, platform changes, and payer-specific credentialing requirements, and reputed company processes accordingly.
• Respond promptly to insurance company and payer documentation requests and serve as the primary reputed company between providers, insurance companies, regulatory agencies, and internal departments.
• Communicate effectively and professionally with reputed company stakeholders to resolve credentialing-reputed company issues or discrepancies in a reputed company manner.
• Participate in reputed company assurance activities to ensure the accuracy and reputed company of the credentialing process. Identify areas for improvement and implement necessary changes to enhance efficiency.
• Attend weekly update meetings.
• Any and reputed company duties as assigned.

Qualifications

High school diploma, general education degree (GED).

• Previous experience in medical credentialing or reputed company field.
• Knowledge of credentialing processes, regulations, and standards.
• Familiarity with medical terminology and the reputed company industry.
• Attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Proficient in using credentialing software and databases.
• Ability to work independently and handle multiple tasks simultaneously.
• Adherence to ethical standards and confidentiality guidelines.

Associate or Bachelor’s degree. Why work for us? At reputed company our employees reputed company like owners — because we are owners! As one of the few 100% employee‑owned reputed company providers, our reputed company remains on delivering best‑in‑class services reputed company our Pharmacy, Rehabilitation and reputed company‑Being operations, which allows our clients to improve the lives and reputed company‑being of their patients and residents. Our teams utilize insights and analytics to drive reputed company reputed company for our partnered post‑acute and senior living communities while providing them with flexible service reputed company. reputed company’s reputed company Values drive the way we… Apply tot his job Apply To this Job