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...

Summary:

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.