Healthcare Network Specialist

1 day ago


Chicago, Illinois, United States EPITEC Full time
{"Job Title": "Credentialing Specialist", "Job Summary": "As a Credentialing Specialist at Epitec, you will be responsible for analyzing and applying business rules to complete requests from providers regarding adds, deletes, and changes to their information used for claims processing, membership assignment, and directory purposes. This role involves contracting, credentialing, and maintaining Facility/Professional provider data to support marketing and network contracting across all lines of business. Additionally, you will support the implementation of special projects, assist with tracking various project phases, and manage workflow. You will also assist management in training team members on business rules in network contracting and credentialing, identifying gaps in processes, and suggesting process improvement strategies.", "Responsibilities": "
\t\u2022 Analyze and apply business rules to complete requests from providers
\t\u2022 Contract, credential, and maintain Facility/Professional provider data
\t\u2022 Support the implementation of special projects
\t\u2022 Assist with tracking various project phases and manage workflow
\t\u2022 Assist management in training team members on business rules
\t\u2022 Identify gaps in processes and suggest process improvement strategies\", "Requirements": "
\t\u2022 Bachelor's degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry
\t\u2022 Strong written and verbal communication skills, including interpersonal skills
\t\u2022 Ability to develop training materials and act as an advisor to staff
\t\u2022 Proficiency in Microsoft Office software products, including analytical tools\", "Company": "Epitec"}

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