Contract Credentialing Specialist

Contract Credentialing Specialist Remote position with commutable requirement to New Berlin, WI for orientation and training. Summary This Contract Credentialing Specialist will primarily be responsible for maintaining the good standing for our government-funded (Medicaid) contracts. They will assist in updating all required compliance items to ensure there are no disruptions to billing or patient services. Essential Functions Manage the administrative duties for all government-funded and commercial payer accounts (web portal access, demographic updates, licensure updates and renewals) Manage the administrative duties for all company issued licenses and state certifications/registrations Process and complete any credentialing/re-credentialing applications for all government-funded health plans; monitor the applications and follow-up as needed Assist the Contract & Credentialing Manager with any applications or credentialing initiatives for the commercial contracts and health plans Maintain compliance with all Federal, State and local regulations as well as internal policies and procedures Manage and update the list of contracted health plans and payers for our external venders/distributors, physician partners and Coloplast owners Maintain and update any contract-related reference sheets, job aids, tracking sheets and reference guides as well as assisting leadership with distributing any companywide internal FYI communications regarding new payer contracts or policy changes Assist with any other assignments or duties as requested Skill and Abilities Proficient in Microsoft Office and able to quickly learn and navigate new systems and technologies Able to understand, interpret, and follow complex instructions while making sound decisions to complete tasks accurately Demonstrates adaptability and maintains composure in high-pressure situations, including managing heavy workloads and tight deadlines Strong verbal and written communication skills, with the ability to convey information clearly and professionally across all levels of the organization Able to collaborate effectively across cross-functional teams, building strong working relationships to achieve shared goals Effectively prioritizes work and manages time to meet deadlines and objectives Highly organized with strong attention to detail Self-motivated with the ability to take initiative and work independently to achieve goals Capable of managing multiple tasks and projects simultaneously while maintaining quality and efficiency Basic Qualifications High School Diploma or G.E.D Minimum of 3 years of experience in the business field (within the last 5 years) Preferred Qualifications 1+ year of Medical Credentialing and Licensing experience (within the last 24 months) Bachelor’s Degree Certified Provider Credentialing Specialist (CPCS) Atos Medical, Inc. is an Equal Opportunity/Veteran/Disabled Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. To request reasonable accommodation to participate in the job application, please contact View phone number on click.appcast.io. #J-18808-Ljbffr Coloplast