Medicaid Credentialing Specialist

3 days ago


Springfield, Illinois, United States Cogent Infotech Corp Full time
{"Job Title": "Medicaid Credential Specialist", "Job Description": "Job Summary

Cogent Infotech Corp is seeking a skilled Medicaid Credential Specialist to join our team. As a Medicaid Credential Specialist, you will be responsible for verifying provider credentials, reviewing demographic and billing information, and performing data entry functions.

Key Responsibilities
  • Verify provider credentials through government agencies and license boards
  • Review and update provider demographic and billing information
  • Perform data entry functions and document communication notes and resolution outcomes
  • Research and verify provider credentialing information
  • Assist Medicaid providers with processes, policies, and procedures
Requirements
  • 3 years of experience in a similar role with a strong understanding of Medicaid and provider enrollment
  • Knowledge of Medicaid provider credentialing standards and requirements
  • Excellent organizational, communication, and interpersonal skills
  • Strong customer service experience, preferably in a provider services call center or credentialing department
  • Proficient in Microsoft Office (PowerPoint, Word, Excel, and Outlook)
Education

Bachelor's degree in business administration, public administration, or equivalent workplace experience equivalent to four years of college.

"}

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