POSITION SUMMARY:
Reporting to the Payer Credentialing Manager and the Director of Revenue Cycle & Finance, the Payer Credentialing Specialist is responsible for all aspects of the credentialing and, re-credentialing ,processes at Equitas Health. The Payer Credentialing Specialist is responsible for ensuring that all providers are credentialed and contracted with health plans, as well as maintaining up-to-date information for each provider and group location. The Payer Credentialing Specialist will collaborate with the Payer Credentialing Manager, the Revenue Department, Senior Leaders, Directors, and Managers in developing, implementing, and managing the workflow for payer credentialing and doing so in a timely and transparent manner. The Payer Credentialing Specialist will be expected to manage the organization’s Credential MyDoc software and credentialing spreadsheets under the direction of the Payer Credentialing Manager. This position requires the Payer Credentialing Specialist to be detailed oriented and have the communication skills to assist in creating an environment and culture that will enable Equitas Health to fulfill its mission and to meet, or exceed, its goals.
TELECOMMUTING: Hybrid with 2 days in office during the week. SALARY:$48,900-$61,100
ESSENTIAL JOB FUNCTIONS:
Essential functions of the job include, but are not limited to, organization; exercising professional judgment; traveling when needed,; strong written communication skills; relationship building; utilizing a computer for typing and research; attending meetings; and presenting to small groupMAJOR AREAS OF RESPONSIBILITIES:
Policies & Procedures. Assist the Payer Credentialing Manager if there are Amendments needed to current Credentialing & Privileging Policies and Procedures as needed. Create and update as needed department workbook on the credentialing processes and obtain approvals for implementations from Payer Credentialing Manager.
Knowledge, Skills, Abilities and other Qualifications:
It is the policy of Equitas Health that no employee or applicant will be discriminated against because of race, color, religion, creed, national origin, gender, gender-identity and expression, sexual orientation, age, disability, HIV status, genetic information, political affiliation, marital status, union activity, military, veteran, and economic status, or any other characteristic protected in accordance with applicable federal, state, and local laws. This policy applies to all phases of its personnel activity including recruitment, hiring, placement, upgrading, training, promotion, transfer, separation, recall, compensation, benefits, education, recreation, and all other conditions or privileges of employment.
Equitas Health values diversity and welcomes applicants from a broad array of backgrounds.
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