- Completes and submits provider credentialing and recredentialing applications to payors and follows up to ensure accurate and timely processing.
- Reviews payors' provider directories to ensure accurate information.
- Maintains copies of current provider state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Learns new payor requirements and incorporates them into the process.
- Ensures new and existing clinic addresses are current with payors, state agencies, and other entities as needed.
- Prepares various documents necessary to support new and updated payor contracts.
- Submits clinic license applications to state contacts and follows up to ensure timely processing.
- Submits CLIA applications for clinics to CMS and follows up to ensure timely processing.
- Updates credentialing software system to ensure accurate credentialing information is maintained.
- Optimizes the use of credentialing software system to drive efficiency and accuracy of credentialing process.
- Shares provider credentialing exceptions with billing department leaders as needed.
- Responds to inquiries from payors and internal customers regarding credentialing and contracting issues.
- Other duties as assigned.
- Pay Rate: $22hr. - $24hr. (Pay is flexible and dependent on experience)
- Hours: Monday-Friday 8:30am-5pm (flexible as needed).
- 3+ years of credentialing experience
- Familiarity with licensing and compliance
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Top Fortune 100 Company Nashville, TN, United States Full timeOur Client is looking to hire a Legal Assistant for an onsite role in their downtown Nashville, TN location. No duplicate submissions. Our Client provides their workforce with a hybrid work environment. Most positions have a combination of work from home and work in the office, ...
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Top Fortune 100 Company Nashville, TN, United States Full timeOur Client is looking to hire a Legal Assistant for an onsite role in their downtown Nashville, TN location. · Most positions have a combination of work from home and work in the office, which varies by position, department, and business need. However, this position is *100% ons ...
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Metropolitan Government of Nashville & Davidson County Nashville, United StatesSalary: $67,425.50 AnnuallyLocation : Nashville, TNJob Type: Full Time Health Civil ServiceJob Number: HEA06584Department: HealthDivision: Administration and FinanceOpening Date: 06/02/2024Closing Date: 6/11/2024 11:59 PM CentralPosition DescriptionThe Metro Public Health Departm ...
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Credentialing and Contract Administration Specialist - Brentwood, United States - Medix
Description
Credentialing and Contract Administration Specialist- Brentwood, TNJob Responsibilities:
Brentwood, TN
Qualifications:
If you are ready to take the next step in your career, please submit your application, including your resume, relevant certifications, and a cover letter outlining your qualifications and passion.
