Ottimo Resources

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Credentialing Specialist - Healthcare Industry

at Ottimo Resources

Posted: 9/25/2019
Job Reference #: 8188650

Job Description

We need a Rock Star Credentialing Supervisor with 1-2 years Plus of Experience! We are a Fortune 500 organization and a leader in the Healthcare Industry. If you have Credentialing Experience read on and apply...


The Key function is the coordination of all new group applications for Medicare and Medicaid for new markets. This position is a liaison between central business and the regional credentialers for various problems and issues. The credentialing Specialist handles various credentialing reports and issues.

Key Essentials:

Must have knowledge of Medicare and Medicaid
Daily updates to the TIN tracking logs
    • Texas
    • STL (MO)
    • TN
    • New changes going forward
      • Arizona
      • California
  • Payer Status telephone calls and/or web look up
  • Acquisition Tracking logs
  • Assist with acquisition packet preparation
  • Photocopies (as necessary)
  • GDI search to retrieve EOB’s to assist with TMHP R&S (appeals)
  • EZ Print to assist with TMHP R&S (appeals)
  • Easy Module updates

Send us your resume as we are looking to hire... Applicants MUST have some experience and knowledge.