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Payor Credentialing Specialist

1 month ago


Plano, Texas, United States Collaborative Imaging Technology Full time
Payor Credentialing Specialist Role

We are seeking a highly skilled Payor Credentialing Specialist to join our Revenue Cycle team at Collaborative Imaging Technology. As a key member of our team, you will play a crucial role in ensuring the accuracy and compliance of our credentialing processes, driving strategic outcomes for our business and partners.

You will report directly to the Chief Revenue Cycle Officer and work cross-functionally to develop critical business processes that deliver great solutions to our client partners. Your insights and feedback will help us improve how we support the organization as well as our partners.

Key Responsibilities:

  • Compiles and maintains current and accurate data for all providers
  • Completes provider credentialing, recredentialing applications; monitors applications and follows-up as needed
  • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
  • Maintains corporate provider contract files
  • Maintains knowledge of current health plan and agency requirements for credentialing providers
  • Sets up and maintains provider information in online credentialing databases and system

Requirements:

  • 2+ years of relevant credentialing experience
  • Working experience in CAQH, PECOS, Availity, Verity, etc
  • Willingness to learn and build a process around onboarding new clients for payer claim enrollment and EFT enrollments

We offer a competitive compensation package, including 10 company paid holidays + 2 flex holidays, flexible work schedules, health, dental, and vision benefits, with employer HSA contribution, long-term, short-term, and life insurances, and a commitment to diversity and inclusion.