Credentialing Specialist


Revenue Cycle Operations - Plano, TX

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Location:

Plano Corporate Office



Overview:

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Position

The Credentialing Specialist is responsible for maintaining active status for providers by successfully completing credentialing applications as required by our payers.

Responsibilities

  • Complete Self Service Desk Tickets per SLA
    • Priority 1 completed in 24 hours
    • Priority 2 completed within 3 business day
    • Priority 3 completed within 5 business days
    • Work On Hold Tickets twice a week to review, update, and complete
  • Respond to all E-mail/IM’s
    • 24 hour turn around
  • Projects (when requested)
    • Completed by deadline given
  • New Provider Credentialing Applications
    • Create Verity account and upload all credentialing documents with 24 hours.
    • Generate, review, edit, and submit all Payer applications within 5 days.
    • Follow up with payers for application status and effective dates every 2 weeks.
  • Re-credentialing
    • Generate, review, edit, and submit all Payer applications within 1 day
    • Follow up with payers for application status and effective dates every 2 weeks
  • Additional locations
    • Generate, review, edit, and submit all Payer applications within 2 days
    • Follow up with payers for application status and effective dates every 2 weeks

Expectations

  • Complete all assigned tasks on the Smartsheet and/or assigned via email by the end of each week.
  • If working a special project complete as directed and communicate your progress each day.
  • Have a positive attitude and always go the extra mile to help others.
  • A good attitude and willingness to work as a team
  • Bring new suggestions, tips, issues with solutions to our weekly team meetings
  • Continual communications between team members
  • Detailed task updates daily via SmartSheet

Great Customer Service

  • Email Etiquette
    • Phone Etiquette
    • Passion
    • Communication
    • Be Professional
    • Actively listen
    • Willingness to help others

Who is your customer?

  • Payers
  • Home Office Employees
  • Leadership team and Office staff

Qualifications:

 




2022-16169
Credentialing Specialist Full-Time (more than 30 hours)
Plano Corporate Office
Plano, TX
Full-Time (more than 30 hours)
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