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Credentialing Specialist - Market Access
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Job Description
- Req#: CREDE002177
Employer Industry: Genetic Testing and Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Collaborate with a supportive and dynamic Market Access Team
- Engage in meaningful work that supports patients in need of genetic testing
- Work in a fast-paced, deadline-driven environment that fosters professional development
- Chance to leverage technology and tools such as Salesforce for efficient operations
What to Expect (Job Responsibilities):
- Complete initial credentialing and re-credentialing applications for in-network status with commercial payors and Managed Medicaid payors
- Manage and track application submissions using Salesforce
- Perform timely follow-ups with payers to resolve application and enrollment issues
- Collaborate closely with the Market Access Team to gather necessary information for network expansion initiatives
- Monitor expiration dates for assigned payers and enrollments to ensure timely renewal and compliance
What is Required (Qualifications):
- Preferred bachelor's degree with a minimum of 3 years of experience in Credentialing Services
- Certified Provider Credentialing Specialist (CPCS) preferred
- In lieu of a degree, a minimum of 5 years of experience in Credentialing Services is required
- Intermediate to advanced proficiency in programs like Microsoft Word and Excel
- Strong knowledge of healthcare laws, compliance standards, and applicable software programs; Salesforce experience is a plus
How to Stand Out (Preferred Qualifications):
- Diagnostic laboratory experience preferred
- State Medicaid Provider enrollment experience preferred
#GeneticTesting #HealthcareServices #Credentialing #CareerOpportunity #MarketAccess
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