Credentialing Specialist

job
  • Insight Global
Job Summary
Location
Dunwoody ,GA
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
23 Jan 2025
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Job Description

A client of Insight Global's is looking to hire a Credentialing and Payer Enrollment Manager. The Manager will lead and manage all aspects of provider credentialing, payer enrollment, and related compliance activities for providers and facilities. The role will focus on ensuring timely, accurate, and compliant enrollments, while optimizing payer participation and streamlining internal processes. The Senior Manager will collaborate closely with internal teams and external stakeholders, including payers, vendors, and regulatory bodies, to ensure smooth and efficient operations in a dynamic healthcare environment.


Qualifications:

  • Bachelor’s degree in business, healthcare or related field
  • 7+ years of credentialing/enrollment and/or revenue cycle management experience may be substituted in place of a degree.
  • Working knowledge of credentialing and enrollment software preferred, ideally Verity Credential Stream.
  • Knowledge of regulatory & compliance standards, credentialing processes, commercial and government insurance enrollment, and medical staff privileging.
  • Must be proficient in Microsoft Office suite.
  • Excellent verbal, presentation, and written communication skills.
  • Able to travel at least once a month to Atlanta.

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