Medicaid Credentialing Specialist

3 days ago


Springfield, Illinois, United States Cogent Infotech Corp Full time
Job Summary

Cogent Infotech Corp is seeking a highly skilled Medicaid Credentialing Specialist to join our team. As a Medicaid Credentialing Specialist, you will be responsible for verifying provider credentials through various government agencies and license boards, reviewing the accuracy of provider demographic and billing information, and performing various data entry functions.

Key Responsibilities
  • Verification of Provider Credentials: Research, verify, and document provider credentialing information through various government agencies and license boards as part of provider enrollment regulations.
  • Review and Update of Provider Information: Review the application and update submission in its entirety and confirm that all data is accurate, and all revalidation documents are completed and uploaded, ensuring that all verification documents are complete.
  • Communication and Documentation: Document communication notes and resolution outcomes.
  • Assistance to Medicaid Providers: Assist Medicaid Providers on the processes, policies, and procedures within the State.
  • Requirements and Qualifications: The ideal candidate will have 3 years of experience in a similar role, with a vast understanding of Medicaid and provider enrollment. They will also have knowledge of Medicaid provider credentialing standards and requirements, excellent organizational, communication, and interpersonal skills, and strong customer service experience.
Requirements
  • 3 years of experience in a similar role
  • Vast understanding of Medicaid and provider enrollment
  • Knowledge of Medicaid provider credentialing standards and requirements
  • Excellent organizational, communication, and interpersonal skills
  • Strong customer service experience
  • Strong oral and written skills
  • Ability to work in a fast-paced, deadline-oriented work environment
  • Proficient in Microsoft Office
  • Ability to work as a team member and independently
Education

Bachelor's degree in business administration, public administration, or equivalent workplace experience equivalent to four (4) years of college.



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