Credentialing Representative (28226)

Company Name:
Ewings Associates, Inc.
Reference # : 14-00124 Title : Credentialing Representative (28226)
Location : Brentwood, TN
Position Type : Right to Hire
Experience Level : Start Date / End Date : 06/08/2014 / 07/13/2014
Specific Duties:
1. Assist and support Physicians, Nurse Practitioners, Physicians Assistants and other designated clinicians with enrollment-related activities
2. Complete Medicare and Medicaid enrollment applications on behalf of incoming or existing provider staff, in accordance with state and federal regulations
3. Conduct provider follow-up on all missing, incorrect or non-received credentialing/recredentialing information
4. Conduct carrier follow-up on all outstanding Medicare and Medicare applications
5. Prepare, maintain and distribute reports on all credentialing/licensing-related activities as needed Interact with all related business teams, health plans and providers to respond to requests for provider credentialing information
6. Develop high level communication and other forms as necessary
7. Effectively utilize and maintain department database system and other various credentialing reports
Must have qualifications/experience:
1. High school diploma or GED equivalent required
2. At least 3 years recent hands-on Medicare and/or Medicaid enrollment experience in a managed care or direct care delivery environment required
3. Proficiency in the use of Microsoft Office products including Word, Excel and Outlook required
Shift Start/End Time: 7:30am-4:30pm
Dress Code: Business Casual (except when we have visitors, then business attire is required)

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