Credentialing Specialist - PartTime
Wasatch Behavioral Health
- Provo, Utah, United States
- Provo, Utah, United States
About
Assist with provider enrollment, credentialing, and recredentialing for Medicaid, NPI, and select private insurance networks. Review and process credentialing applications to ensure accuracy, completeness, and compliance with regulatory requirements. Verify provider licenses, certifications, NPI numbers, and other credentialing documentation through primary source verification. Create, maintain, and audit provider credentialing files and databases to ensure current and accurate records. Track application statuses and follow up with providers, insurance companies, and regulatory agencies to meet credentialing deadlines. Support funding coordination activities by helping maintain client out of pocket costs and insurance and/or Medicaid eligibility. Update provider information within electronic medical records and other internal systems as licenses, certifications, or credentials change. Update client information within electronic medical records and other internal systems as insurance and/or Medicaid change. Work with providers to give funding information about the clients on each scheduled appointment.
Qualifications
High school diploma or GED required (bachelor's degree preferred). Experience in administrative support, healthcare credentialing, billing, insurance, or a related field preferred. Strong attention to detail, organization, and time management skills. Proficiency with Microsoft Office and database systems. Ability to maintain confidentiality and manage sensitive information. Strong communication skills and ability to work independently and as part of a team.
Apply Today Ready to make a real impact? Submit your application today and take the next step toward a career that truly changes lives. We're excited to meet you and cheer you on as you grow with our team!
Languages
- English
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