Revenue Cycle Credentialing Specialist

Job not on LinkedIn

🔥 1 hour ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $61.3k - $122.7k / year

⏰ Full Time

🟢 Junior

✨ Revenue Cycle Specialist

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Abbott

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1888

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare • Healthcare Insurance • Biotechnology

Abbott is a global healthcare company committed to advancing medical technologies and improving lives around the world. It offers a broad range of leading products in diagnostics, medical devices, nutrition, and branded generic medicines. Abbott's innovations such as the FreeStyle Libre glucose monitoring systems and BinaxNOW rapid antigen tests are transforming diabetes management and COVID-19 response. Through its partnerships and initiatives, Abbott aims to foster health equity, improve access to healthcare, and address critical health challenges like malnutrition and infectious diseases. Abbott is also dedicated to sustainability and social responsibility, striving to make life-changing technologies accessible and affordable.

📋 Description

• Facilitate contract implementation with internal and external parties • Manage credentialing of contracts for government and commercial contracts • Prepare and maintain credentialing files and reports for all payors • Process and file applications with third party payors • Conduct follow up until payor approval is obtained • Enroll provider in Medicare/Medicaid • Track licensure, accreditation, and insurance certificate expiration dates • Handle requests for re-credentialing for payors • Answer questions and process requests from stakeholders related to credentialing information

🎯 Requirements

• Associates degree in healthcare administration, public health, business administration, or related field; or high school degree/general education diploma and 2 years of relevant experience in lieu of Associates degree • 1+ years of contracting experience within the healthcare industry • Demonstrated knowledge of public and private Managed Care payers and reimbursement processes • Demonstrated understanding of market-related issues, contract development, negotiation, and pull through, as well as the legal and regulatory implications associated with private and government payer contracting • Basic knowledge of Microsoft Office; including Word, Excel, Access, Outlook, and PowerPoint • Authorization to work in the United States without sponsorship.

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements