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Insurance Credentialing Specialist in Greenwood, IN at Diverse Staffing

Date Posted: 2/8/2019

Job Snapshot

Job Description

Diverse Tech Staffing is assisting our client in Greenwood in their search for an Insurance Credentialing Specialist for a three-month assignment.  The successful candidate will process credentialing and re-credentialing applications of health care providers, reviews applications, letters, and maintains database.

This is a contract position with a pay range up to $17.00/hr.

Specializing in IT, engineering, and manufacturing, Diverse Tech Staffing meets the demands of our career-minded candidates with an exceptional full-service approach while connecting employers with the candidates they need to meet their business objectives and manage their processes. That’s why top performers and growing companies continue to partner with us.


  • Responsible for processing of provider payor applications, initial, re-applications and attestations
  • Responsible for entering into credentialing databases including but not limited to CAQH, State license agency, and Symed
  • Responsible to complete and disseminate to health plans requested provider data
  • Understands Medicare, Medicaid and commercial payor application process and EDI agreements
  • Credentialing of new physicians with hospitals and managed care plans
  • Re-credentialing established physicians with hospitals and managed care plans through CAQH
  • Maintain Credentialing files (paper and computer)
  • Coordinates and participates in all phases of credentialing/re-credentialing profile process
  • Completes all documentation and data entry into database system within two days of receipt of updates
  • Responsible for gathering and mailing state and government applications for newly hired physicians
  • Tracks and logs credentialing status routinely with participating networks
  • Works in a manner that is not disruptive to peers, supervisor and subordinates    
  • Provides timely follow-up to state, or other governing bodies as required
  • Identifies and reports any non-compliance or credentialing issues to immediate supervisor
  • Responds to health professionals, provider representatives, providers or other essential departments the status of applications and the status of credentialing process
  • Aggressively collects, coordinates, reviews and documents performance data, which includes quality and utilization activities, member complaint data for re-credentialing purposes
  • Meets with company-wide policies related to confidentiality and HIPAA
  • Works independently following established policies, procedures, and practices. 
  • Maintains and demonstrates in their daily interaction with others a positive working relationship with the various levels of staff and the public.
  • Able to communicate clearly with payer representatives, vendor representatives, ABO staff, and all levels of management both at the Corporate Office and throughout the System while maintaining HIPAA compliance

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Job Requirements

  • 1 yr. medical office experience
  • Microsoft Office
  • Medicare, Medicaid process and EDI agreements
  • EMR - Epic

Diverse Staffing is an Equal Opportunity Employer: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status or other protected status. IND2

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