Top 3 Credentialing specialist Jobs in Kansas

Credentialing Specialist
Aria Care Partners —Overland Park, KS
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health savings account
- Paid holidays
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Credentialing Specialist
Astra Mental Health and Recovery —Topeka, KS
- From $23.25 an hour
- Customer service
- Adults
- Mid-level
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12d

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Credentialing Specialist
Aria Care Partners —Overland Park, KS
Familiarity with state licensing requirements and provider onboarding tasks. Prepare and submit credentialing applications and supporting documentation for the…
Quick Apply
Credentialing Specialist
Astra Mental Health and Recovery —Topeka, KS
Successful completion of Kansas Bureau of Investigation (KBI), Central Registry, and other applicable background investigations and possess a valid Kansas…
From $23.25 an hour
Quick Apply
12d

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Insurance Credentialing Specialist
TOTAL CARE THERAPY LLC —Dublin, OH
High school diploma required; associate or bachelor’s degree preferred. 401(k) retirement plan with company matching.
$50,000 - $65,000 a year
Quick Apply
11d
Credentialing Specialist-(Day)FT
Adena Health System —Chillicothe, OH
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…
12d

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Credentialing Specialist

Aria Care Partners -
Overland Park, KS

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Job Details

Full-time

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Microsoft Excel
Microsoft Outlook

Full Job Description

Description:

Aria Care Partners is the national leader in providing onsite dental, vision, hearing, and podiatry care to over 3500 long-term care and skilled nursing facilities across 25 states. Aria Care Partners believes that our clinicians should be able to focus on providing the best, most comprehensive care for their patients. Our clinicians visit different skilled nursing communities daily, bringing life-affirming care to an underserved population. Our business model, innovation, customer support and teamwork deliver an unparalleled customer experience, resulting in a customer satisfaction rating of over 98%. Executing this strategic philosophy resulted in rapid company growth with revenue increases of 25%-30% annually over the last 4 years, nearly doubling the size of the company. Company values include caring fully for our customers and fellow employees, striving for excellence and continuous improvement, and excelling through the power of teamwork and collaboration. At Aria Care Partners, our mission is to enrich the quality of life for every resident with passion and compassion.

Working at Aria Matters!

The Position

The Credentialing Specialist will be responsible for timely submission and follow-up for institutional and individual provider credentialing, contracting, and re-credentialing with health insurance payors across multiple states and service lines. Assists in verifying and monitoring credentials of healthcare providers and completing facility applications as needed. Maintains confidential files of providers records to meet company and compliance standards. This position requires communication with physicians, outside payors and facilities, and in-house departments such as billing and scheduling.

Essential Duties & Responsibilities

Prepare and submit credentialing applications and supporting documentation for the purpose of enrolling groups and providers with Commercial, Medicare, and Medicaid networks.
Follow up on the status of applications for providers with payers, tracking progression of pending and completed work.
Maintains accurate and up-to-date database of information including provider credentials and payer statuses.
Works closely with internal teams to communicate approvals and work through denials as necessary.
Maintains knowledge of current payer requirements across multiple states and service lines.
Maintain strict level of confidentiality and HIPAA compliance.
Familiarity with state licensing requirements and provider onboarding tasks.
Familiarity with various payer portals and CAQH.
Contact providers and payers, by phone or email, for updates and/or to request missing information.
Ensure group and provider information is current/accurate with health insurance payers.
Assist with facility credentialing applications as needed.

Benefits

We offer a comprehensive benefit package for you and your family, including:

PTO and Paid Holidays for FT Employees
401k Retirement Plan with Company Match
Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid EAP, and life and disability insurance, and more.

Requirements:

Education & Training Requirements

Minimum two years of health insurance credentialing experience preferred.
Prior data management/data integrity experience preferred.
Associates degree preferred.
Proficient with Microsoft Office, including Excel, Word, and Outlook

Other Qualifications

Excellent organization and communication skills.
Quick thinking, positive, and professional, with demonstrated problem solving, attention to detail, and critical thinking skills.
Ability to work independently, set priorities, and meet deadlines.
Adapt to changes in work environment, manage competing demands and deal with frequent change, delays, or unexpected events.
Able to work in a team environment.

Physical Efforts & Working Conditions

Work is performed in a normal office setting in our Overland Park, KS headquarters with minimal exposure to health or safety hazards. Substantial time is spent working on a computer.

This is a full-time position working standard business hours Monday – Friday, although project support may require temporary adjustments to those hours only as needed.

#LI-GC1

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