Healthcare Contract and Credentialing Specialist Job at Carefirst Urgent Care
Job Type: Full time - Flexible Schedule
Responsibilities:
- Develop, negotiate, and maintain contracts with all payers
- Develop and maintain processes that provide timely notification of critical contract events
- Coordinate and communicate contractual terms to the billing department; ensure staff is informed of changes in medical policy and reimbursement
- Preparation and maintenance of the credentialing files for all providers
- Conduct all follow up steps until payor approval/completion is obtained
- Update NPI records according to provider specifications
- Enroll provider in Medicare/Medicaid as prescribed by each program
- Track provider licensure and Board expirations and ensures timely processing CAQH, TMHP and payor updates
- Complete requests for re-credentialing for both providers and facilities
- Accept and process all requests from payors for credentialing information/updates/new contracts and products
- Prepare and maintain facility credentialing files and reports including maintenance of credentialing software, facility rosters and spreadsheets
- Assist in quarterly CAQH mass attestation
- Maintain confidentiality and compliance with HIPAA rules and regulations
- Other duties as assigned
Education and Experience:
Required:
- High school diploma or equivalent
- Two years of experience in healthcare credentialing
Perks & Benefits:
- Medical, Vision and Dental insurance on your first day!
- Competitive compensation
- 401K match at 1 year employment
- Paid Time Off
- Supportive work environment
- 40 locations
Company Information:
CareFirst Urgent Care has 40 locations and works to improve the health of our community by delivering compassionate, affordable care that ensures the best outcomes for patients and their families. We are always looking for hard-working and energetic new team members. CareFirst Urgent Care is an Equal Opportunity Employer.
Job Type: Full-time
Pay: $35,000.00 - $50,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
Work Location: In person
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