Credentialing Liaison/Officer

Job Description

Overview:
To be the client Credentialing Coordinator, one must be well-versed in insurance carriers’ procedures to get companies and individual providers in-network with said carriers. This role is also responsible for communicating with owners and providers regarding the needs of the company and progress of credentialing. Organization and attention to detail will be key!

Responsibilities:

• Contract an organization with an insurance company:
  Through contracting, you will essentially link the company to the insurance carrier.
• Credential an individual provider:
  This process links the provider not only to the insurance carrier but also to the company’s tax ID for billing purposes.
• Maintain tracking device:
  Keep an organized system to track which carriers have completed enrollment and which are still pending.
• Ensure clients can bill for rendered services:
  Ensure that clients of the client are able to bill for services rendered by providers and companies.

Technical Requirements

Key Skills & Requirements:

• In-depth understanding of insurance carrier processes and credentialing requirements.
• Strong organizational skills and ability to manage multiple tasks.
• Excellent communication skills to interact with owners, providers, and insurance carriers.
• Attention to detail and ability to maintain accurate records.
• Ability to manage and track the progress of credentialing for providers and companies.