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Credentialing Specialist

Company: QGenda
Location: Atlanta
Posted on: August 7, 2022

Job Description:

Title: Credentialing Specialist Classification (FLSA): ExemptPosition type: Full time Reports to: Director, CredentialingSummary / Objective: QGenda is looking to hire a full-time Credentialing Specialist. The ideal candidate is hyper-organized, able to work at a quick pace, and has a passion for credentialing.We are looking for an experienced candidate who is committed to the growth of the organization and dedicated to providing exceptional customer service. They must be a team player and open to working closely with the credentialing team to handle the credentialing and payer enrollment process from beginning to end.Key Responsibilities: Perform the administrative and technical duties necessary to complete the provider enrollment process.Work directly with administrative contacts and customers which includes: performing regular updates and communicating clearly on the status of the enrollment process to customers and contacts as designated by the customer, or manager on a regular basis.Provide superior customer service at all times to internal and external contacts including customers, providers, representatives, and other staff.Help manages the onboarding process by working directly with providers to help facilitate the process of PSV and enrollment with insurance payers.Manage the credentialing process from start to finish including obtaining applications from the payers, completing applications accurately, submitting applications timely per policy or within a reasonable time frame to avoid delays, complete regular follow up with the payers to ensure applications are being processed, and obtaining contracts once the credentialing process is completed.Properly maintain files on each provider as required by the customer, items may include (CAQH, CV, certifications, licenses, malpractice files, hospital privileges, etc.)Maintain accurate and proper records in the credentialing databaseWork closely with the other team members to ensure that the enrollment is handled as quickly and professionally as possible.Knowledge, Skills and Abilities:3+ years of payer enrollment experiencePESC, or CPCS certification preferred but not requiredSuperior customer service skillsStrong interpersonal skills - team player who is able to prioritize multiple responsibilities, manage a large workload within tight deadlines - works well under pressure and consistently meets deadlines, readily adapts to change and excels in a productivity-based environmentStrong communication skills verbal, and writtenAbility to organize and prioritize work and manage multiple prioritiesExcellent computer skillsAbility to problem-solve, research and analyze data quicklyHigh sense of urgency and likes to meet deadlinesEducation / Professional Certifications or Licenses Required:Bachelor's degree from an accredited University Work Environment / Physical demands:Computer-based work environment. Sitting and standing for extended periodsLifting of 5 - 10 pounds. PI187981014

Keywords: QGenda, Atlanta , Credentialing Specialist, Other , Atlanta, Georgia

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