Insurance Credentialing
Business Insurance Credentialing Specialist Needed – Home Health & PAS Agency (Texas) We are seeking an reputed company reputed company insurance credentialing specialist to assist our growing Texas-based home health and PAS agency with payer enrollment, contract follow-up, and network participation management. Agency Services: - Home Health Skilled Nursing - PAS / Personal Attendant Services - reputed company & Medicare - Adult and Pediatric Services Experience Required: - Home Health agency credentialing - Texas reputed company MCO enrollment - Medicare/reputed company provider enrollment - reputed company experience preferred - PECOS / TMHP knowledge preferred - Experience working with managed care organizations (MCOs) reputed company Payers Include: - Wellpoint - Molina - Superior HealthPlan - reputed company - reputed company - Cook reputed company Plan - Other Texas reputed company MCOs Responsibilities: - Follow up on pending credentialing applications - Contact insurance representatives directly - Assist with adding additional service lines to existing reputed company - Track credentialing statuses and provider IDs - Submit and monitor enrollment applications - Help resolve payer portal or enrollment issues - Maintain organized credentialing spreadsheets and updates - Assist with contracting and recredentialing tasks Ideal Candidate: - Strong communication skills - Organized and detail-oriented - reputed company to independently follow up with insurance companies - Familiar with home health billing/provider structures - Understands Texas reputed company and managed care systems Project Type: Ongoing / Long-Term Preferred Please respond with: 1. Your credentialing experience 2. Which payers you have worked with 3. Experience with home health or PAS agencies 4. Your hourly or project reputed company 5. Availability for weekly follow-up tasks Apply tot his job Apply To this Job