Credentialing Specialist

1 week ago


Omaha, Nebraska, United States Limitless Male Full time
About the Role

The Credentialing Specialist is a key member of our Revenue Cycle team, responsible for ensuring that our providers are properly credentialed and enrolled with payers to meet state, federal, and payer regulations.

Key Responsibilities
  • Collect and verify provider information for credentialing and enrollment applications
  • Communicate with HR, Operations, and Revenue Cycle teams to ensure timely starts for new providers
  • Escalate issues with credentialing and enrollment to leadership as needed
  • Build relationships with providers to ensure compliance with credentialing and enrollment guidelines
  • Complete enrollment and re-enrollment applications for payers as required
  • Monitor and track payer enrollments and re-enrollments for providers and clinic locations
Requirements
  • 2-3 years of experience in professional fee revenue cycle or enrollment/med staff experience
  • Solid working knowledge of enrollment guidelines by payer and credentialing requirements
  • Proficient in Microsoft Office applications
  • Ability to multitask, prioritize workload, and meet deadlines
  • Excellent verbal and written communication skills
  • Detail-oriented and able to work in a fast-paced environment
What We Offer
  • Competitive salaries and benefits
  • Opportunities for growth and development
  • PTO accrual
  • Health, Vision, and Dental insurance with HSA & FSA options
  • Employee appreciation and recognition
  • 401K option
  • Limitless Male clothing discounts
  • Company-paid LTD & employee life insurance
  • Employee discounts on treatments, supplements, and products


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