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Medical Insurance Credentialing Specialist

Healthcare Revenue Group
3.1 out of 5
6701 W 64th St, Mission, KS 66202
Full-time

Location

6701 W 64th St, Mission, KS 66202

Benefits
Pulled from the full job description

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off

Full job description

HRG is a growing medical billing company based in Overland Park, KS. Our growth has created the need to add another credentialing specialist to our contracting and credentialing team. Three years past medical insurance credentialing/provider enrollment experience is required.

Responsibilities:

  • Enrollments, re-credentialing and new contract applications with commercial and government health plans for various clients
  • Monitor applications and follow-up as needed
  • Knowledge of managed care company and plan requirements for credentialing providers
  • Ability to explain the contracting and enrollment process and information needs to client staff and communicate updates and application status to clients and internal stakeholders.
  • CAQH maintenance for providers (new and ongoing maintenance)
  • Clearinghouse set-up and enrollments
  • Maintain insurance website and clearinghouse access passwords and logins.
  • Professional attitude and teamwork required

​Qualifications:

  • Excellent organization and follow-up skills
  • Being detail oriented is a must
  • Strong project management skills – ability to track and manage numerous applications and work with payers to complete enrollments within expected timeframes
  • Able to work independently and self-monitor progress
  • Strong customer service and communication skills
  • Driven to achieve, track record of success or accomplishment
  • Understanding of managed care companies, plans and managed care network concepts.
  • Previous medical credentialing experience is desired

Why work at HRG?

  • Comprehensive benefits including health, dental, vision, short-term/long-term disability and 401(k) with company match. Generous PTO.
  • Opportunity for client support teams to interface with senior company and client management.
  • Possibility for high impact, varied responsibilities and career advancement.
  • Considerable job autonomy.
  • Great team of co-workers!
  • Culture – we strive to be a great, fun place to work! We want you to love coming to the office!

Job Type: Full-time

Benefits:

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Experience:

  • Medical Insurance Credentialing: 3 years (Required)
  • CAQH knowledge &: 3 years (Required)

Work Location: One location