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Credentialing Specialist
| Company | Charlie Health |
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| Location | Nashville, TN, USA |
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| Salary | $40000 – $53000 |
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| Type | Full-Time |
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| Degrees | Bachelor’s |
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| Experience Level | Junior, Mid Level |
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Requirements
- Bachelor’s degree
- 2+ years working in health plan enrollment is preferred
- Experience credentialing across multiple states as well as across Commercial and Medicaid payors
- Experience with state Medicaid enrollment is preferred
- Experience with delegated credentialing is a plus
- Work authorized in the United States and native or bilingual English proficiency
- Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce
Responsibilities
- Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
- Communicate directly with providers to gather necessary information for credentialing application submissions
- Ensure adherence to application requirements to guarantee all required information is submitted to health plans
- Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval
- Monitor application progress and propose solutions for resolving credentialing delays and rejections
- Track application progress and follow-ups directly in Salesforce
Preferred Qualifications
- 2+ years working in health plan enrollment is preferred
- Experience with state Medicaid enrollment is preferred
- Experience with delegated credentialing is a plus
