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Credentialing Specialist

Company: Change Healthcare Inc.
Location: Norwalk
Posted on: August 8, 2022

Job Description:

Overview of Position

Primarily responsible for day-to-day tasks in Credentialing Dept. to include payer enrollment, revalidations, and other miscellaneous tasks as required by payers. Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of McKesson. Adheres to the McKesson HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.

What will be my duties and responsibilities in this job?

* Complete the processes to credential physicians to meet payer criteria.
* Enroll clients with participating insurances.
* Input information to credentialing software in order to have most current data.
* Maintain filing of all necessary credentialing documentation.
* Follow up with clients and insurances in accordance with established guidelines for all credentialing assignments.
* Communicate client issues with management at an early stage.
* Be able to clearly and effectively communicate with physicians, physician staff, Operations Managers and insurance companies handling basic questions dealing with the day-to-day operation of credentialing and enrollments.
* Have prompt response time to voice mail, email and other requests whether it is from supervisors, co-workers or clients.

What are the requirements needed for this position?

* High school diploma or GED equivalent
* 1-year professional business experience.
* Medical billing or credentialing experience preferred.
* Have professional verbal and written communication skills.
* Work well under difficult circumstances and tight timelines.
* Know how to prioritize throughout the day as workflow changes.
* Perform all other tasks as requested by senior management.

What other skills/experience would be helpful to have?

* Time management: the ability to organize and manage multiple priorities
* Strong team player
* Excellent interpersonal and communication skills
* High performance
* Commitment to company values
* Computer proficiency
* Insurance billing experience



What are the working conditions and physical requirements of this job?

Remote

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Keywords: Change Healthcare Inc., New England , Credentialing Specialist, Other , Norwalk, Northeast

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