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Credentialing Specialist - Provider Enrollment

Company: Change Healthcare
Location: Montgomery
Posted on: January 16, 2022

Job Description:

What will I be responsible for in this job? The Credentialing Specialist is responsible for obtaining and coordinating all necessary provider enrollment applications for billing to Medicare, Medicaid, Blue Shield, CHAMPUS, and various other agencies as assigned. Functionally, these activities are key to the maintenance of the physician group, individual physician records, regulatory, and hospital contract compliance. Additional responsibilities include: --- Maintaining deletions, additions, and changes to the physician maintenance file pertaining to physicians and to other pertinent information including quarterly review of group membership. --- Handling telephone communication and written correspondence with providers, and fiscal intermediaries in an efficient and effective manner that facilitates the Provider Enrollment process. --- Maintaining updated information on carrier requirements through contact with the carriers and by reviewing carrier bulletins, and other materials sent to the providers and from the Supervisor. --- Working in a team effort on projects such as new start-ups for renewal, re-credentialing group applications as required by carriers by business changes such as Tax ID numbers and entities, or when directed by the Supervisor. --- Reporting any problems, errors, and/or changes detected in provider enrollment requirements when discovered. --- Preparing documents in a consistent and accurate manner. What are the requirements? + Must have at least 2 years previous knowledge or experience with health care provider/physician credentialing, billing, and medical reimbursement. + PECOS, CAQH, and previous online enrollment experience + Computer proficiency with intermediate MS Office skills + High school diploma What critical skills are needed for you to consider someone for this position? + Previous experience in a business setting with fundamental clerical skills, preferably with medical or provider enrollment background + Excellent customer service and ability to interact at all organizational levels + Meticulous accuracy + Effective oral and written communication skills ? What other skills/experience would be helpful to have? + Minimum of 45-50 WPM typing skills + Good decision-making, analytical, and problem-solving skills + Self-starter with ability to work independently and as part of a team + Must be able to identify and proactively organize tasks to ensure completion within department timelines and goals Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID MandateAs a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment. As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, 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\_EEO\_Supplement\_Final\_JRF\_QA\_508c.pdf.If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here\_%20English\_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information ( . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Keywords: Change Healthcare, Montgomery , Credentialing Specialist - Provider Enrollment, Other , Montgomery, Alabama

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