1 Credentialing Specialist Job in Topeka, KS
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Blue Cross and Blue Shield of Kansas is Hiring a Credentialing Specialist Near Topeka, KS
“This position is eligible to work hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.”
- Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
- Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
- Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
- Stability: 80 years of commitment, compassion, and community
- Inclusive Work Environment: We pride ourselves on fostering a diverse and inclusive workplace where everyone is valued and respected.
- Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
- Position is stationary involving telephoning or emailing providers to obtain required recredentialing applications, missing malpractice insurance certificates, or missing answers from disclosure questions on the recredentialing application.
- Understanding mandatory credentialing requirements of URAC is essential in this position and will require completion of training and willingness to review URAC guidelines as necessary. Ability to process recredentialing application, reviewing application to ensure mandatory elements are answered, calling provider offices if information is lacking for the mandatory elements and using the internet to obtain primary source verification of required URAC elements.
- Provides education and answers questions timely and accurately from providers or office personnel regarding credentialing requirements.
- Responsible for reviewing active/inactive status of provider contracts prior to monthly recredentialing process.
- Responsible for assisting providers with the recertification application process and documents in the system.
- Ability to track multiple months of recredentialing activities to completion.
- Responsible for imaging credentialing/recredentialing information.
- Responsible for preparing confidential documents and maintain strict confidentiality.
- Independently determines best approach to solving problems.
- Work requires the ability to focus on details with the ability to switch task and provider files and return to previous task for completion.
- Minimal Lifting required. Position is mostly stationary, use of PC up to 70% of the workday. Phone up to 50% of the workday. Must be able to lift 25 pounds.
- High school graduate or equivalent required (additional education in communications, human relations, medical terminology, and business letter writing preferred).
- Strong computer skills to operate effectively with company systems and programs. Will show proficiency in using Email, Internet, Intranet, and internal systems following training.
- Good customer service skills, organizational skills, communication skills and the ability to work independently are necessary. Ability to communicate effectively, both verbally and in writing, with providers including physicians, staff from provider offices, facilities and all levels of internal staff required.
- Good human relation skills, positive attitude and be flexible to change required.
- Must be able to maintain confidentiality.
- Ability to work independently and well under pressure to meet strict deadlines while maintaining a high degree of accuracy.
- Proficient in the use of WORD and EXCEL preferred. A working knowledge of additional Microsoft Office Products helpful.
- Proficient in using PES, Crystal, IPS, BluECM, CACTUS, and/or CAQH.
- Working understanding of URAC auditing process and requirements.
- Type 50 wpm strongly preferred and perform complete data entry rapidly and accurately using a personal computer.
- Base pay is only one component of your competitive Total Rewards package:
- Incentive pay program (EPIP)
- Health/Vision/Dental insurance
- 6 weeks paid parental leave for new mothers and fathers
- Fertility/Adoption assistance
- 2 weeks paid caregiver leave
- 5% 401(k) plan matching
- Tuition reimbursement
- Health & fitness benefits, discounts and resources
Job Summary
Full Time
Insurance
$40k-51k (estimate)
10/25/2023
07/27/2024
bluekc.com
KANSAS CITY, MO
500 - 1,000
1938
Private
ANDREW CORBIN
$1B - $3B
Insurance
Related Companies
The job skills required for Credentialing Specialist include Customer Service, Microsoft Office, Data Entry, Communicates Effectively, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Specialist job description and responsibilities
A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.
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A credentialing specialist can have certificates that will prove useful to their field.
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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
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Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.
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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Specialist jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
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Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
03/01/2022: Parkersburg, WV
While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.
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Make Use Of Advanced Software For Monitoring.
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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
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Step 3: View the best colleges and universities for Credentialing Specialist.
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