home health credentialing / contracting specialist ( Work from Home)TSG Outsourcing

How to Apply:
 
Copy and Paste the Link below in the browser to generate the application form:
http://forms.gle/UwbRCBTnF6WVuuRP8
 
Rate: $4/hr and earn up to PHP 39,000+/month
Schedule: Monday - Friday: 8:00 AM - 5:00 PM PST with 1 hour unpaid lunch break
 
Home Health Credentialing/Contracting Specialist (Work from Home)
 
Job Description:
 
This role is responsible for completing contracting and credentialing applications with Health Insurance companies and plans, including claims and remittance agreements, EFT enrollment applications, changes in medical practice information, and participation status.
 
This entails transcribing practice and individual provider data into PDF forms or portal-based forms. This plays a vital role in maintaining accuracy and efficiency with our credentialing process. By diligently completing and following up on applications, our team helps to ensure that our carrier network remains robust, and our clients receive the highest quality service.
 
Qualifications:
Experience completing contracting/credentialing applications and outreach
Experience/exposure to completing EDI agreements, preferred
Experience/exposure to completing EFT agreements, preferred
Availability during insurance carrier business hours
Knowledge of basic medical credentialing and administrative terminology
Exceptional attention to detail
Must be able to work independently in a fast-paced environment
Strong communication and problem-solving skills
Responsibilities:
Complete requests to contract and credential with insurance carriers
Complete applications for group contracting and individual provider credentialing with insurance carriers
Complete initial and reappointment applications for privileges at healthcare facilities
 Request changes in practice demographic information with insurance carriers
Complete claims and remittance agreements via clearinghouse software and payer portals
Complete and submit Electronic Funds Transfer enrollments to establish electronic payments from the insurance carriers
Perform outreach to insurance companies to confirm status of applications and other change requests, including changes in medical practice information, participation status, and status of roster updates
Review previous notes pertaining to credentialing requests in order to achieve the goal of each outreach attempt
Record details about outbound calls to insurance carriers using task management software
Document clear instructions regarding the next steps when applicable
Communicate regularly with the Credentialing Department regarding any urgent matters, as well as weekly availability