Insurance Credentialing Specialist
National nursing pool inc.
Job Description
Job Description
A Medicare-certified home health agency located in Oakalnd Park, FL is seeking an experienced healthcare consultant or credentialing specialist to help obtain provider contracts with Medicare Advantage, Medicaid managed care, and commercial insurance plans.
Responsibilities include:
- Completing provider enrollment, credentialing, and contracting applications
- Identifying insurance networks accepting new home health providers
- Following up with insurance companies until contracts are finalized
- Assisting with contract negotiations and fee schedule reviews
- Managing CAQH, NPPES, PECOS, and insurance portal requirements
- Helping the agency establish a broad insurance network to serve more patients
Compensation is negotiable based on experience and services provided.
Applicants should submit their qualifications, home health contracting experience, estimated completion timeline, and proposed compensation.
Vacancy posted 2 days ago
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