Home Health Credentialing/Contracting Specialist

2 weeks ago

Work from Home, Philippines Thrive Technologies Inc. Full time ₱228 - ₱39,000 per year

How to Apply:

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Rate: $4/hr and earn up to PHP 39,000+/month

Schedule: Monday - Friday: 8:00 AM - 5:00 PM PST with 1 hour unpaid lunch break

Home Health Credentialing/Contracting Specialist (Work from Home)

Job Description:

This role is responsible for completing contracting and credentialing applications with Health Insurance companies and plans, including claims and remittance agreements, EFT enrollment applications, changes in medical practice information, and participation status.

This entails transcribing practice and individual provider data into PDF forms or portal-based forms. This plays a vital role in maintaining accuracy and efficiency with our credentialing process. By diligently completing and following up on applications, our team helps to ensure that our carrier network remains robust and our clients receive the highest quality service.

Qualifications:

  • Experience completing contracting/credentialing applications and outreach
  • Experience/exposure to completing EDI agreements, preferred
  • Experience/exposure to completing EFT agreements, preferred
  • Availability during insurance carrier business hours
  • Knowledge of basic medical credentialing and administrative terminology
  • Exceptional attention to detail
  • Must be able to work independently in a fast-paced environment
  • Strong communication and problem solving skills

Responsibilities:

  • Complete requests to contract and credential with insurance carriers
  • Complete applications for group contracting and individual provider credentialing with insurance carriers
  • Complete initial and reappointment applications for privileges at healthcare facilities
  • Request changes in practice demographic information with insurance carriers
  • Complete claims and remittance agreements via clearinghouse software and payer portals
  • Complete and submit Electronic Funds Transfer enrollments to establish electronic payments from the insurance carriers
  • Perform outreach to insurance companies to confirm status of applications and other change requests, including changes in medical practice information, participation status, and status of roster updates
  • Review previous notes pertaining to credentialing requests in order to achieve the goal of each outreach attempt
  • Record details about outbound calls to insurance carriers using task management software
  • Document clear instructions regarding the next steps when applicable
  • Communicate regularly with the Credentialing Department regarding any urgent matters, as well as weekly availability

Job Type: Full-time

Pay: Php228.36 per hour

Expected hours: 40 per week

Benefits:

  • Work from home

Work Location: Remote

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