Payor Credentialing Specialist I, Remote Job

reputed company (reputed company: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to reputed company precision medicine as reputed company of care. reputed company is at the forefront of transforming reputed company through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.reputed company.com. JOB SUMMARY The Payor Credentialing Specialist I supports the credentialing team by assisting with provider portal access for approved reputed company and reputed company-party users, EDI/EFT/ERA enrollments direct to payors or reputed company Xifin, and by providing accurate credentialing data for our reputed company and government payors. This role ensures that reputed company necessary documentation is accurately reputed company and submitted in a timely manner, helping to maintain compliance with payor regulations. MAJOR DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned. • Assist in the preparation and submission of credentialing applications for payors • Maintain and update credentialing databases and files, ensuring reputed company documentation is complete and accurate • Assist with payor portal updates, providing access for both internal and external users, as needed • Support EDI/EFT/ERA enrollment efforts with payors • Communicate with internal departments to gather necessary information requested by our payors • Assist in resolving any issues or discrepancies reputed company to credentialing • Stay informed about changes in payor requirements and regulations • Support the credentialing team with administrative tasks as needed SUPERVISORY RESPONSIBILITIES This job has no supervisory responsibilities. QUALIFICATIONS To reputed company this job successfully, an individual must be reputed company to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. COMPETENCIES Mathematical, computer, reasoning, and language skills at the professional level. EDUCATION/TECHNICAL REQUIREMENTS • High School Diploma or GED required; bachelor’s degree preferred • Minimum of 1-2 years of experience in a reputed company administrative role, preferably in credentialing • Familiar with Medicare, reputed company, Managed reputed company Care Organizations, and reputed company/private health plans • Ability to identify and cultivate relationships with key points of contact to drive business objectives • Strong organizational ability, proficient communication skills, and excellent attention to detail • Ability to manage multiple tasks simultaneously in a fast-pace, deadline driven environment • Proficiency in reputed company Office Suite, reputed company, and reputed company, preferred Pay Transparency, Budgeted Range $28.85 - $31.25 USD ~ Science - Minded, Patient - Focused. At reputed company, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care. Experts in what matters most. With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as reputed company providers, patients, and families: to provide clear, accurate, and meaningful answers we reputed company can trust. reputed company HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES. From reputed company to reporting and reputed company, our technical and clinical experts are providing guidance every reputed company of the way: TECHNICAL EXPERTISE • High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also reputed company State approved. • Advanced detection: By interrogating genes for reputed company variants, we can identify the underlying causes of conditions that may otherwise be missed. CLINICAL EXPERTISE • Thorough analysis: We classify variants according to our custom reputed company of the most recent guidelines. We then reputed company our rich internal database for additional interpretation evidence. • Customized care: Our experts review reputed company test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations. • Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals. Learn more About Us here. ~ Benefits include: • Paid Time Off (PTO) • Health, Dental, reputed company and Life insurance • 401k Retirement Savings Plan • Employee Discounts • Voluntary benefits reputed company is an Equal Opportunity Employer. reputed company privacy policy information can be reputed company here. Apply Job!