Job Information
Robert Half Credentialing Specialist in Indianapolis, Indiana
Description
The Robert Half Healthcare Practice is working with a healthcare network in the Indianapolis area to add a Credentialing Specialist to join their team. The ideal candidate will be an excellent communicator.
Shift: Monday - Friday 8am - 5pm with a 30 min lunch
Responsibilities for the position include the following:
Provider Credentialing: Review provider credentials, maintain accurate electronic data, and complete ARMS credentialing and re-credentialing.
Payer Enrollment: Complete, monitor, and follow up on provider credentialing and payer enrollment with all commercial, Medicaid, Medicare, and Medicaid managed care payers.
Data Management: Maintain CAQH, NPPES/PECOS, and state license information for all providers.
Risk Management: Obtain and maintain malpractice coverage, EMR licenses, and signed physician contracts.
Compliance: Ensure compliance with the affiliate, state, and federal regulations.
Equity and Accountability: Demonstrate commitment to health equity, racial equity, and continuous improvement.
Requirements
Must know how to use the following software: Tricare, Modio and Credentialing software, PECOS, Medicare and Medicaid Enrollments for both provider and Facility, MPPES, CAQH and Excel
Knowledge of working with National Payors (UHC, Anthem BCBS, Etc)
Must know how to manage reports
Must have knowledge of working claims and denials
Bachelors and a CPCS preferred
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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