Summary: The Credentialing Support Specialist is an administrative role with responsibility for special projects as assigned, ticketing system, insurance commercial revalidations, manage directory & commercial credentialing portals.

Benefits:

• PTO
• 6 Paid Holidays
• New Parent Perks
• Health, Dental, Vision Insurance.
• 401(k) with matching program
• Much, much more!

This is a remote position

Job Responsibilities / Functions

• Maintain Portals:
  • Commercial directory portals for both locations & providers
    • Availity, Lexis Nexis, Better Doc, Ashlink, UHC, etc.
• Ticketing System (Freshservice)
  • Credentialing Inquiries
  • Billing inquiries
  • Authorization inquiries
  • Mail received at clinic
  • Location changes
  • Name changes
  • Out of network inquiries

• Special Projects
  • Clinic Closures
  • Collect preliminary information for DeNovos, Tuck Ins, Relocations
• Monitor revalidation dates for Commercial payers
  • BCBS, PTPN, Global Health, Medicaid, etc

• Work Tasks via 3^rd party vendor credentialing platform

• Works with Credentialing Manager to assist with projects as needed.

Job Requirements

Education: Some college coursework is desired.

Experience 1 or more years’ experience in provider credentialing or related area is required.

Skills & Knowledge

• Must be self-motivated and detail-oriented. Great at follow through.
• Excellent multi-tasker in a fast paced environment.
• Excellent interpersonal and communication skills.
• Excellent organization skills and proven ability to collaborate with different constituencies and manage tasks to ensure deadlines are met and a quality product is produced.
• AmaZing! customer service ethic and high expectations for quality.
• Proficient using online software applications as well as the latest versions of Google Apps, Microsoft Word, Excel, and PowerPoint.
• Experience with OneView is a plus!