Healthcare

Provider Credentialing Specialist

Contract

Strategic Staffing Solutions

Title: Provider Credentialing Specialist

Location: Baton Rouge, LA

Duration: Contract (6 Months)

Targeted Start Date: 04/25/2022

This is a Contract Opportunity with our company that MUST be worked on a W2 ONLY, NO C2C eligibility for this position.

To Apply: Please email your resume in Word Format to Rene May at: rmay@strategicstaff.com and Reference Job Order #: 199207 or Click the Apply Button.

Job Description / Duties:

  • Compile appropriate information to make requested credentialing, contractual, and demographic updates and changes related to provider data in the systems of record in an accurate, complete, and timely manner.
  • Manage and sustain positive provider relationships.
  • Setup providers and networks in systems of record, assign provider numbers and communicate with provider community.
  • Facilitate accurate financial claims payment and provider directory processes.
  • Represent BCBSLA to external provider communities and internal stakeholder groups.
  • Accurately setups providers in provider systems of record to ensure appropriate claims payment in accordance with contractual language.
  • Compiles, analyzes, and verifies the required information for provider enrollment, contracts, and maintenance for completeness and
  • accuracy, and enter it into the systems of record.
  • Communicates, orally and in writing, directly with providers to resolve questions and issues regarding updates and changes in the systems
  • of record.

Required Qualifications:

  • High School diploma or equivalent is required. Prefer an Associate or bachelor’s degree in business or health related field
  • Two years of customer service, credentialing, enrollment, and billing, claims and/or insurance operations experience is required.
  • Demonstrated knowledge of insurance services and operations.

$$ WE OFFER A REFERRAL FEE FOR ANYONE REFERRED & HIRED WITH S3! $$

Strategic Staffing Solutions (S3) is an international, woman-owned, over $300 million IT and business services corporation based in Detroit. S3 provides staff augmentation, direct hire recruiting, workforce programs, and outsourced solutions with global industry expertise in energy/utility, healthcare services, insurance, communications, and financial services. It has over 3,600 direct consultants in 49 out of 50 states in the U.S. and 15 countries including Europe and the Americas.

  • With a composite average annual growth rate of 19%, S3 is fiscally sound and debt free.
  • S3 has had $3.3 Billion in sales since its inception with $1.2 billion of those sales occurring in the last 5 years.
  • S3 is ranked as the sixth largest diversity staffing firm in the U.S. by Staffing Industry Analysts (SIA) and 16th among the largest IT staffing firm in the U.S. by Staffing Industry Report.
  • It is the only company that is a certified Charter Partner to SIA.
  • With 59% of its 3,600 team members claiming veteran, military spouse, or military dependent status, S3 has been designated as a Military Friendly and Military Spouse Friendly employer since 2014.
  • S3 is a certified women-owned business enterprise (WBE) and an active member of WBENC.
  • S3 is ranked among the top 25 woman-owned businesses in the nation by Women’s Enterprise USA Magazine.
  • S3 has given more than $2 million through sponsorships and donations every year since 2011.

Strategic Staffing Solutions is an Equal Opportunity Employer

Job ID: JOB-199207
Publish Date: 06 Apr 2022

Tagged as: Provider Credentialing Specialist