Credentialing Team Lead

Responsibilities

• Complete provider credentialing and contract applications with third-party carriers and government health plans.
• Review provider credentialing and contracting information to ensure completeness and accuracy.
• Monitor applications and follow-up in a timely manner.
• Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases, as applicable.
• Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly.
• Research new state and payer information and guidelines.
• Serve as a go-to person for credentialing team.
• Assist with escalated credentialing matters.
• Maintain quality working relationships with internal and external customers.

Qualifications

• 3-5 years of experience in credentialing and contracting.
• Knowledge of Commercial Insurance and Government Payor guidelines.
• Ability to plan, organize, and complete work with competing priorities.
• Takes accountability for personal productivity and quality of output.
• Organized and detail-oriented with strong communication and problem-solving skills.

Benefits

• Close-knit team of talented and skilled individuals.
• Growth opportunities within the organization.
• Competitive salary.
• Healthcare benefits including medical, dental & vision.
• 401K.
• Flexible PTO.