Medical Insurance Specialist

1 week ago


Kansas City, Missouri, United States St Joseph Medical Group Full time
Job Summary

We are seeking a highly organized and detail-oriented Medical Insurance Credentialing Coordinator to join our team at St. Joseph Medical Group. The successful candidate will be responsible for tracking provider enrollments, re-credentialing, and new contract applications with commercial and government health plans.

Key Responsibilities
  • Perform CAQH maintenance and ensure accurate and timely updates.
  • Effectively communicate the contracting and enrollment process to Regional Directors and stakeholders.
  • Monitor and maintain websites for pending revalidations and credentialing requests.
  • Develop and maintain comprehensive knowledge of managed care company and plan requirements.
Requirements
  • Associate's degree or equivalent education/experience.
  • Certified Provider Credentialing Specialist (CPCS) certification preferred.
  • Strong computer, communication, and writing skills.
  • Proficiency in Microsoft Office: Word, Excel, and PowerPoint.
  • Positive attitude and willingness to learn.
  • Knowledge of managed care plans, PECOS, NPPES, and CAQH.


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