Credentialing Support Specialist - Confluent Health

Summary: The Credentialing Support Specialist is an administrative role with responsibility for special projects as assigned, ticketing system, insurance commercial revalidations, manage directory & commercial credentialing portals.

Typically reports to: Credentialing Manager

Benefits:

• PTO
• Competitive Salary
• 401(k) plus matching
• New parent perks
• Health, Dental, Vision Insurance. 
• Much, Much More

Job Responsibilities / Functions

Maintain Portals:

Commercial directory portals for both locations & providers

Availity, Lexis Nexis, Better Doc, Ashlink, UHC, etc.

Ticketing System (Freshworks)

Credentialing Inquiries

Billing inquiries

Authorization inquiries

Mail received at clinic

Location changes

Name changes

Out of network inquiries

Special Projects

Lockbox updates

Clinic Closures

Collect preliminary information for DeNovos, Tuck Ins, Relocations

Monitor revalidation dates for Commercial payers

BCBS, PTPN, Global Health, etc

Works with Credentialing Manager and/or Vice President of Managed Care to assist with projects as needed.

Job Requirements

Education:  Some college coursework is desired.
Experience   1 or more years’ experience in provider credentialing or related area is required.  

Skills & Knowledge

• Must be self-motivated and detail-oriented. Great at follow through.
• Excellent multi-tasker in a fast paced environment.
• Excellent interpersonal and communication skills.
• Excellent organization skills and proven ability to collaborate with different constituencies and manage tasks to ensure deadlines are met and a quality product is produced.
• AmaZing! customer service ethic and high expectations for quality. 
• Proficient using online software applications as well as the latest versions of Google Apps, Microsoft Word, Excel, and PowerPoint.
• Experience with OneView is a plus!