Credentialing Specialist: Provider Enrollment & Compliance

IVX Health; Brentwood (TN); Presencial; USD 20.000 - 26.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive Healthcare

401(k) Retirement Plan

Flexible Savings Options

Education Assistance

Descripción de la vacante

IVX Health is looking for a Credentialing Specialist based in Brentwood, Tennessee. The role focuses on credentialing and enrollment of practitioners for various states. Responsibilities include maintaining provider files, credentialing new hires, and ensuring compliance with federal and state regulations.

Candidates should have a Bachelor’s degree or equivalent experience and 3-5 years in the credentialing field. Proficiency in standard office software and strong analytical skills are vital for success in this role, as is communication with various payers.

Formación

• Experience in credentialing with commercial and government payers.
• Certified Provider Credentialing Specialist (CPCS) certification preferred.
• Experience with multi-site and/or multi-state providers.

Responsabilidades

• Maintain provider files for credentialing applications.
• Credential new providers and re-credential existing ones.
• Track enrollment status with agencies and payers.

Conocimientos

Exceptional written and verbal communication skills

Strong analytical and problem-solving skills

Knowledge of provider credentialing

Proficiency with standard office software

Educación

Bachelor’s degree or equivalent work experience

3-5 years of experience in credentialing

Descripción del empleo

IVX Health is looking for a Credentialing Specialist based in Brentwood, Tennessee. The role focuses on credentialing and enrollment of practitioners for various states. Responsibilities include maintaining provider files, credentialing new hires, and ensuring compliance with federal and state regulations.

Candidates should have a Bachelor’s degree or equivalent experience and 3-5 years in the credentialing field. Proficiency in standard office software and strong analytical skills are vital for success in this role, as is communication with various payers.