• Credentialing and Insurance Specialist

    Job Locations US-VT-Winooski
    Type
    Full-Time
    Category
    Clinical
  • Overview

    Marathon Health is hiring a full-time Credentialing and Insurance Specialist on our team! Marathon Health serves businesses and municipalities throughout the United States, providing a different kind of healthcare program that emphasizes patient involvement, prevention, risk reduction and outcomes.

     

    The Credentialing and Insurance Specialist will coordinate the insurance credentialing and re-credentialing process for the medical providers in our employer-based health and wellness centers throughout the United States. 

     

    This role is based out of the headquarters office located in Winooski, Vermont. 

    Responsibilities

    • Completes the insurance credentialing applications for specific medical providers
    • Creates and updates medical provider CAQH profiles
    • Registers for health center Type 2 NPI numbers and updates as required
    • Oversees licensure and certification tracking of all clinicians
    • Contacts employed/contracted providers as necessary to maintain current and accurate information within NPPES, CAQH, and provider files
    • Answers credentialing questions and provide support to medical providers and health plan contacts as necessary.
    • Minimal travel required; 10%

    Qualifications

    • One to Two years related work experience in insurance enrollment preferred
    • Certified Credentialing Specialist (CPCS)- Preferred
    • Attention to detail with limited supervision necessary
    • Excellent oral and written communication skills
    • Knowledge of insurance enrollment systems including CAQH, PECOS and NPPES
    • General understanding of Medicare, Medicaid, BCBS, and other commercial insurance plans
    • Proficient in Microsoft Office (Excel, Word, Outlook)

    About Marathon Health

     

    Marathon Health (www.marathon-health.com) is one of the nation’s leading providers of employer-based health services.   We serve businesses throughout the United States, providing a different kind of healthcare program that focuses on total population health management and health risk reduction.

     

    Marathon Health promotes a culture of health and wellness in everything we do. It is for this reason we seek to hire individuals who embrace wellness and model healthy behaviors in their own lives. We are proud to be a drug and tobacco free company. We value the richness diversity brings to our workforce and are committed to being an equal opportunity employer and provider (EOE).

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