Job description

We pay attention to details.

We use technology to be more efficient.

We take pride in our results.

We care about the people we serve. And we care about the people they serve.

InnovateU is seeking a high performing credentialing specialist to join our organization. Experience in physician credentialing is a requirement, certified credentialing specialist is an even bigger bonus, but we’re looking for people that can also offer more than that. If you share our passion for professional excellence, and our commitment to being the most effective partner a medical practice can choose, this is the job for you.

Detailed Responsibilities for the Position

Performs payer credentialing, provider licensing and hospital privileging for clients.

Ensures providers are credentialed, re-credentialed and privileged in a timely and efficient manner

Develops accurate and thorough provider profiles in Credential My Doc Credentialing software. Monitors license and certification expiration dates, and ensures timely renewal.

Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.

Proactively monitors application statuses and performs follow-up as necessary.

Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.

Ensures timely issue and reissue of COI through completion of the insurance application for all assigned providers

Maintains strong professional relationships with clients, hospitals and third party payors.

Escalate concerns regarding the processing of providers; lack of renewals and non-response to management.

Travels periodically to assigned facilities to build and maintain positive working relationships with clients and hospitals.

Periodically audits for compliance with payer fee schedules.

Adheres to all company compliance policies and external regulatory requirements.

Required Qualifications

High School Diploma or GED

2+ years of healthcare credentialing/privileging experience

Competent user of Microsoft Office software (Word, Outlook, Excel, etc.).

Strong performer in the following areas: organization, attention to detail, communication skills, customer service.

Certified Provider Credentialing Specialist (CPCS) preferred

Job Types: Full-time, Part-time

Pay: $21.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Reno, NV 89519: Reliably commute or planning to relocate before starting work (Required)

Experience:

• CAQH use: 2 years (Required)
• PECOS: 2 years (Required)
• Provider enrollment: 2 years (Required)
• Microsoft excel: 2 years (Required)

Work Location: In person

learninglandscape.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, learninglandscape.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, learninglandscape.com is the ideal place to find your next job.