Insight Global
Credentialing Specialist
Insight Global, Fort Lauderdale, Florida, us, 33336
* Manage all aspects of the provider enrollment and onboarding process, including initial applications, re-credentialing, and maintaining provider information in all necessary systems
* Quality review, verification, and validation of provider credentialing files before Provider Enrollment -- primary source verification (education, licensure, and certifications)
* Prepare correspondence to communicate with providers on the status of applications, missing documentation, or follow-up on requests for outstanding items
* Coordinates with insurance payers to complete provider enrollment applications
* Ability to complete and maintain staff rosters
* Completing and maintaining all CAQH profiles for all providers
* Completing timely follow-up on all-payer enrollment applications
* Ensuring that re-credentialing and revalidations are completed timely to prevent any lapse in enrollment
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal. com.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .* Strong verbal and written communication skills
* Outstanding organizational, problem solving and decision-making skills
* Strong attention to detail, research and follow-up skills
* Ability to navigate between multiple databases quickly and accurately
* Proficiency in Microsoft Office Suite (Outlook, Excel, Teams)
* Credentialing Software
* Docusign* A minimum of 2 years of provider enrollment and credentialing experience
* Knowledge and thorough understanding of managed care operations including enrollment, and re-credentialing.
* Experience with CAQH Proview, NPI Registry, Department of Health, AHCA
* Provider enrollment experience with Medicaid, Medicare, BCBS, Managed Care Health
* Quality review, verification, and validation of provider credentialing files before Provider Enrollment -- primary source verification (education, licensure, and certifications)
* Prepare correspondence to communicate with providers on the status of applications, missing documentation, or follow-up on requests for outstanding items
* Coordinates with insurance payers to complete provider enrollment applications
* Ability to complete and maintain staff rosters
* Completing and maintaining all CAQH profiles for all providers
* Completing timely follow-up on all-payer enrollment applications
* Ensuring that re-credentialing and revalidations are completed timely to prevent any lapse in enrollment
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal. com.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .* Strong verbal and written communication skills
* Outstanding organizational, problem solving and decision-making skills
* Strong attention to detail, research and follow-up skills
* Ability to navigate between multiple databases quickly and accurately
* Proficiency in Microsoft Office Suite (Outlook, Excel, Teams)
* Credentialing Software
* Docusign* A minimum of 2 years of provider enrollment and credentialing experience
* Knowledge and thorough understanding of managed care operations including enrollment, and re-credentialing.
* Experience with CAQH Proview, NPI Registry, Department of Health, AHCA
* Provider enrollment experience with Medicaid, Medicare, BCBS, Managed Care Health