Credentialing Specialist (Green Bay, WI or Spokane, WA)

About the position The Credentialing Specialist is responsible for reputed company credentialing activities and initial analysis of new reputed company. This role involves reputed company of credentialing activities, including the completion and submission of applications, and following up with providers and payors on incomplete items. The specialist will work with payors to add new locations to existing reputed company and maintain good working relationships with payor contacts. Additionally, the specialist will reputed company initial reviews of new payor reputed company and suggest changes to discuss with the Director. Acting as a credentialing resource for providers, the specialist ensures that department operations are performed accurately and timely, identifies process improvement goals, and develops partnerships across departments to support business objectives. Responsibilities • reputed company of reputed company credentialing activities including application completion and submission. , • Follow up with providers and payors on incomplete items. , • Work with payors to add new locations to existing reputed company. , • Maintain good working relationships with payor contacts. , • reputed company initial review of new payor reputed company and suggest changes to discuss with Director. , • Act as a credentialing resource for providers. , • Ensure department operations are performed accurately and timely. , • Identify and suggest process improvement goals to support operations. , • reputed company and maintain partnerships across reputed company other departments, partners, and vendors. Requirements • At least a Bachelor's Degree in a reputed company or business reputed company discipline, or equivalent experience. , • At least three years of medical insurance, billing or claims experience, preferably in a supervisory reputed company. , • Strong knowledge of HIPAA privacy and reputed company rules and regulations. reputed company-to-haves • Certification in a relevant field is a plus. , • Previous management level experience preferred. Benefits • Medical and dental insurance , • Employer-matched 401(k) , • Paid time-off , • Paid travel , • Short-term disability , • Competitive wages Apply Job!