Credentialing Specialist

Company: VieMed
Location: Lafayette
Posted on: September 20, 2023

Job Description:

Essential Duties and Responsibilities:

• Your main job function is to help fill out and process credentialing, contract, revalidation and other payer documents for in-networking, renegotiations, and routine upkeep.
  • You will assist with processing LOIs, applications, contracts, and credentialing for our company with new payers/health plans.
    • You must be detail orientated, efficient, and produce error free, timely work.
    • Track credentialing and recredentialing deadlines.
    • Monitor and track submissions and status changes with payers and update internal records.
    • Communicate updates to existing payers.
    • You will report to the Director of Compliance and ensure all documents for signature, including all credentials, amendments, and all material correspondence are escalated to the
      
      appropriate person within 1 business day of receipt.
      • File all returned amendments and contracts from the payers/plans.
      • Support executive leadership and colleagues with special projects and perform other duties as assigned.
        
        Minimum Qualifications:
        • 2+ years of Healthcare Credentialing Experience.
        • College Degree in a related field preferred, but not required. Preferred Knowledge, Skills and Abilities:
          • Proven work experience as a Credentialing Coordinator or similar role.
          • Excellent verbal and written communication skills.
          • Expertise with Microsoft Office products and Salesforce.
          • Proficient touch-typing skills.
          • Ability to focus for extended periods.
            
            You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. - 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice.

Keywords: VieMed, Lafayette , Credentialing Specialist, Other , Lafayette, Louisiana