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RCM - Credentialing Specialist at Keplr Vision in Bloomington, Illinois

Posted in Admin - Clerical 30+ days ago.

Type: Full-Time





Job Description:

     DO YOU HAVE EXPERIENCE IN CREDENTIALING AND ENJOY WORKING AS A TEAM? 

 

*REMOTE

 

Keplr Vision is a business support services company focused on investing and partnering with medically focused optometry practices and providing best in class lens technology and patient experience. Keplr currently has over 200+ practices in 30 states and is able to provide exceptional levels of clinical, operational and marketing support with its more than decade-old business services platform.


Keplr Vision is currently going through tremendous growth and expanding its Credentialing Department.  Keplr Vision is seeking a professional, motivated, detail-oriented Credentialing Specialist to join the Revenue Cycle Management team.  

 

The Credentialing Specialist develops and maintains an ongoing collaborative relationship with providers, based on mutual respect, high quality outcomes and patient satisfaction. The Credentialing Specialist is responsible for provider enrollment and credentialing with all payers. Primarily, the Credentialing Specialist will be responsible for each application from initiation to approval and ongoing maintenance of provider enrollment and credentialing.


Responsibilities:


  • Ongoing, professional, and effective touchpoints with all active providers

  • Provide high level of customer service

  • Ensure accurate ongoing collection of key provider data element updates and changes

  • Performs updates to the provider database on a regular basis to ensure compliancy

  • Responsible for provider contract administration to ensure that all contract providers have a current and valid contract on file with all participating health plans

  • Supporting providers through the credentialing/re-credentialing process, including addressing provider questions, and ensuring timely completion of applications

  • Responsible to develop relationships with all Health Plans

  • Coordinates and ensures all necessary logistics obtained to support a successful implementation (contracts, EMR access, onsite access, etc.)

  • Ensures provider compliance with all state and federal programs

  • Proactive identification and resolution of plan gaps within a practice

  • Other credentialing, support and compliance duties as assigned

Requirements:


  • 2-3 years administrative experience in healthcare field preferred 

  • Minimum High School diploma or GED

  • Highly organized with attention to detail

  • Ability to effectively prioritize multiple tasks and deadlines, with flexibility and capacity to identify and administer competing operational priorities in a changing environment with creativity and resourcefulness

  • Excellent verbal, interpersonal, judgement and problem-solving abilities

  • Ability to undertake assignments with minimum supervision and direction

Keplr Vision offers a competitive salary and benefits, 401K and a generous PTO plan.


BE A PART OF THIS AMAZING GROWTH AND JOIN OUR TEAM TODAY!

EOE


 





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