Credentialing and Contract Administration Specialist

Credentialing and Contract Administration Specialist- Brentwood, TN

Job Responsibilities:

• Completes and submits provider credentialing and recredentialing applications to payors and follows up to ensure accurate and timely processing.
• Reviews payors' provider directories to ensure accurate information.
• Maintains copies of current provider state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
• Learns new payor requirements and incorporates them into the process.
• Ensures new and existing clinic addresses are current with payors, state agencies, and other entities as needed.
• Prepares various documents necessary to support new and updated payor contracts.
• Submits clinic license applications to state contacts and follows up to ensure timely processing.
• Submits CLIA applications for clinics to CMS and follows up to ensure timely processing.
• Updates credentialing software system to ensure accurate credentialing information is maintained.
• Optimizes the use of credentialing software system to drive efficiency and accuracy of credentialing process.
• Shares provider credentialing exceptions with billing department leaders as needed.
• Responds to inquiries from payors and internal customers regarding credentialing and contracting issues.
• Other duties as assigned by the manager.

Pay and Hours:

• Pay Rate: $22hr. - $24hr. (Pay is flexible and dependent on experience)
• Hours: Monday-Friday 8:30am-5pm (flexible as needed).

Location:

Brentwood, TN

Qualifications:

• 3+ years of credentialing experience
• Familiarity with licensing and compliance

How to Apply:

If you are ready to take the next step in your career, please submit your application, including your resume, relevant certifications, and a cover letter outlining your qualifications and passion.