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Credentialing Coordinator, Connecticut

workfromhome • Posted 4 days ago
Remote Full Time Office and Administrative Support Occupations

Responsible for coordinating the timely and accurate credentialing and re-credentialing of providers with commercial carriers and assisting with CT Medicaid & Medicare enrollment processes, the full-time Credentialing Coordinator in Connecticut will work remotely to manage applications, resolve claim reimbursement issues, and maintain effective communication with clinical departments and insurance carriers. Key responsibilities Coordinates the review of credentialing applications and monitors data accuracy for timely processing Assists with CT Medicaid & Medicare enrollment processes and researches claim denials Develops and maintains effective communication with clinical practice managers and insurance carriers for credentialing application processing Required qualifications Eight years of related work experience, including six years in a similar role, or an equivalent combination of education and experience Comprehensive knowledge of medical credentialing and provider enrollment processes for commercial insurance and government programs Strong grasp of regulatory standards related to managed care and physician organizations Proficiency in computer applications such as Word, Access, and Excel Ability to maintain confidentiality and prioritize multiple tasks effectively

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