Credentialing Specialist
Credentialing Specialist
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Job Description
Job Details
Description
Exciting Opportunity: Join Our Talented Team as a Credentialing Specialist!
Are you ready to make a difference in peoples lives while enjoying a perfect worklife balance Rehab Resources & Greenfield Rehabilitation is looking for a dedicated Credentialing Specialist to join our dynamic team and help us continue providing exceptional physical occupational and speech therapy services to patients of all ages from pediatrics to adults.
At Rehab Resources/Greenfield Rehabilitation we pride ourselves on our core values of Agility integrity and Community.. We offer a supportive work environment where youll feel empowered to make an impact all while enjoying a work life balance hours and a rewarding career. Hours: Monday to Friday 8:00 AM 4:00 PM CST
Position Overview
As a Credentialing Specialist youll be an essential part of our operations. Youll manage the credentialing and enrollment process for government and commercial payers ensuring a smooth experience for our providers. From initial enrollments and CAQH application monitoring to revalidation processes your role will involve working closely with insurance provider relations representatives CAQH and our internal team to resolve any issues that arise.
Key Responsibilities
Manage Credentialing & Enrollment: Oversee the initial provider enrollment CAQH monitoring and revalidation processes for both government and commercial payers.
Collaborate for Success: Work with insurance provider relations representatives CAQH and our internal team to ensure seamless enrollments and resolve any issues that arise.
Multitask & Problem Solve: Navigate multiple systems and tasks simultaneously ensuring accuracy and timeliness in all processes.
Required Experience
Proficiency in Excel Word and Outlook
Strong ability to multitask and take ownership of processes
Selfmotivated and able to work independently
Techsavvy and comfortable navigating multiple computer systems and screens
Ability to perform under pressure in a fastpaced environment with tight deadlines
Experience with Medicare and Medicaid Provider enrollments including revalidations
Familiarity with insurance websites (e.g. CAQH Waystar)
Knowledge of NCQA standards
Skill set of optimal candidate:
Understanding of the 1500 Claim Form
Experience with Clearing House systems such as Waystar
Medical billing experience
Familiarity with credentialing software platforms
Credentialing certification (CPCS) is a plus but not required
Why Choose Rehab Resources/GRA
TherapistOwned & Operated: We are therapistowned committed to seamless operations for our pediatric therapy services.
Core Values: Agility Integrity and Community are at the heart of everything we do.
Top Workplace: Weve been recognized as a Top Workplace for four consecutive years!
Competitive Pay & Benefits: Enjoy comprehensive health insurance PTO sick time 401K with matching flexible schedules and much more!
At Rehab Resources & Greenfield Rehabilitation we foster a collaborative environment where growth and development are always encouraged. If you thrive on working in a team enjoy problemsolving and take pride in your work we want to hear from you!
Ready to make a difference Apply now to join our dedicated team and help us continue providing exceptional therapy services to those who need them most.Contact Michelle Strege MS/CCCSLP ator via email at
Qualifications
- At least 18 years of age.
- High school diploma or equivalent.
- Advanced training in medical credentialing as noted above
Required Experience:
Unclear Seniority
Employment Type
Full-Time
