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Healthcare Credentialing Specialist

1 month ago

Morristown, Tennessee, United States Insight Global Full time
Job Title: Healthcare Credentialing Specialist

Job Summary:

We are seeking a skilled Healthcare Credentialing Specialist to join our team at Insight Global. As a Credentialing Specialist, you will be responsible for maintaining credentials for Payor/Provider enrollment, submitting managed care, Medicare, and Medicaid applications, and monitoring and tracking these applications through the payer credentialing process.

Responsibilities:

- Maintain credentials for Payor/Provider enrollment
- Submit managed care, Medicare, and Medicaid applications
- Monitor and track applications through the payer credentialing process

Requirements:

- 2+ years' experience in Payer/Provider credentialing
- High-volume workload credentialing experience
- Working experience using ECHO- credentialing software
- Experience with CAQH- web-based data repository for credentialing data
- Showing growth in experience at one company/healthcare system

Nice to Have:

- NAMSS certification- provider credentialing and medical services management certification

Benefits:

- Medical, dental, and vision insurance
- HSA, FSA, and DCFSA account options
- 401k retirement account access with employer matching
- Paid sick leave and/or other paid time off as provided by applicable law