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Company Contact Info

  • 580 Howard Avenue
    Franklin Township, NJ 08873
  • Ira Disman

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Credentialing Specialist-YHN

Your Hearing Network • Franklin Township, NJ

Posted 1 month ago

Job Snapshot

Full-Time
Managed Care
Health Care

Job Description

Responsible for all aspects of the credentialing, re-credentialing and contract enrolling for all providers. Responsible for ensuring providers are credentialed, appointed, and enrolled with health plans and managed care plans. Maintain up-to-date data for each provider in credentialing databases; ensure timely renewal of licenses and certifications. 

 

Responsibilities:

 Compiles and maintains current and accurate data for all providers

·       Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed

·       Maintains corporate provider contract files

·       Maintains knowledge of current health plan and agency requirements for credentialing providers

·       Tracks license and certification expirations for all providers to ensure timely renewals

Ensures practice addresses are current with health plans, agencies and other entities

Job Requirements

High school diploma or GED

·       Minimum 1-2 years credentialing experience in a medical hospital or audiology practice required

·       Proficient with Windows, MS Office, Outlook and Internet Explorer

·       Excellent time management and organizational skills

·       Excellent written and verbal communication skills

·       Highly self-motivated, proactive, and results driven

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