Credentialing Specialist

VieMed Healthcare • Lafayette, LA

4d • Onsite

About The Position

The Credentialing Specialist will be responsible for filling out and processing credentialing, contract, revalidation, and other payer documents for in-networking, renegotiations, and routine upkeep. This role will also assist with processing Letters of Intent (LOIs), applications, contracts, and credentialing for new payers/health plans. The specialist will track credentialing and recredentialing deadlines, monitor and track submissions and status changes with payers, and update internal records. They will communicate updates to existing payers, ensure all documents for signature are escalated appropriately, and file all returned contracts from payers/plans. Additionally, the role supports executive leadership amendments and colleagues with special projects.

Requirements

• Excellent verbal and written communication skills.
• Experience with Microsoft Office products.
• Proficient typing skills.
• Ability to focus for extended periods of time.

Nice To Haves

• 2+ years of Healthcare Credentialing and/or Payer Enrollment experience.
• College Degree in related field preferred, but not required.
• Salesforce is a plus.

Responsibilities

• Fill out and process credentialing, contract, revalidation, and other payer documents for in-networking, renegotiations and routine upkeep.
• Assist with processing Letters of Intent (LOIs), applications, contracts, and credentialing for our company with new payers/health plans.
• Track credentialing and recredentialing deadlines.
• Monitor and track submissions and status changes with payers and update internal records.
• Communicate updates to existing payers.
• Ensure all documents for signature, including all credentials, amendments, and all material correspondence are escalated to the appropriate person timely.
• File all returned and contract from the payers/plans.
• Support executive leadership amendments and colleagues with special projects and perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree