Role Description The Credentialing Specialist will be responsible for timely submission and follow-up for institutional and individual provider credentialing, contracting, and re-credentialing with health insurance payors across multiple states and service lines. Assists in verifying and monitoring credentials of healthcare providers and completing facility applications as needed. Maintains confidential files of providers records to meet company and compliance standards. This position requires communication with physicians, outside payors and facilities, and in-house departments such as billing and scheduling. Essential Duties & Responsibilities - Prepare and submit credentialing applications and supporting documentation for the purpose of enrolling groups and providers with Commercial, Medicare, and Medicaid networks. - Follow up on the status of applications for providers with payers, tracking progression of pending and completed work. - Maintains accurate and up-to-date database of information including provider credentials and payer statuses. - Works closely with internal teams to communicate approvals and work through denials as necessary. - Maintains knowledge of current payer requirements across multiple states and service lines. - Maintain strict level of confidentiality and HIPAA compliance. - Familiarity with state licensing requirements and provider onboarding tasks. - Familiarity with various payer portals and CAQH. - Contact providers and payers, by phone or email, for updates and/or to request missing information. - Ensure group and provider information is current/accurate with health insurance payers. - Assist with facility credentialing applications as needed. Qualifications - Minimum two years of health insurance credentialing experience preferred. - Prior data management/data integrity experience preferred. - Associates degree preferred. - Proficient with Microsoft Office, including Excel, Word, and Outlook. - Excellent organization and communication skills. - Quick thinking, positive, and professional, with demonstrated problem solving, attention to detail, and critical thinking skills. - Ability to work independently, set priorities, and meet deadlines. - Adapt to changes in work environment, manage competing demands and deal with frequent change, delays, or unexpected events. - Able to work in a team environment. Requirements - Work is performed in a normal office setting in our Overland Park, KS headquarters with minimal exposure to health or safety hazards. - Substantial time is spent working on a computer. - This is a full-time position working standard business hours Monday – Friday, although project support may require temporary adjustments to those hours only as needed. Benefits - PTO and Paid Holidays for FT Employees. - 401k Retirement Plan with Company Match. - Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid EAP, and life and disability insurance, and more.

• Handle inbound calls from contract holders to initiate a claim or follow up on an existing claim • Communicate home warranty information effectively • Notate claim information accurately into the database • Provide follow-up information to customers as needed

• To analyze and process complex auto claims for a large commercial trucking account by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. • Processes complex commercial auto claims, including bodily injury and ensures claim files are properly documented and coded correctly. • Responsible for litigation process on litigated claims. • Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. • Reports large claims to excess carrier(s). • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

• Investigates and adjusts claims, as well as directs outside defense counsel, independent adjusters, experts, and other vendors in the claim-handling processes • Assists Claim Manager in the identification of exposures and recommends solutions • Alerts Claim Manager to changes and proposed changes in laws that could impact Ryder’s liability program • On-going interaction with field and operations management, legal counsel, safety managers, customers, insurance carriers, and third party claimants • Supervises outside vendors retained for investigations, cost containment, expert witnesses, and litigation management • Routinely interacts with primary and excess insurance carriers, and re-insurers on files meeting reporting thresholds • Investigates and resolves complex and high exposure claims pursued against Ryder and our insured customers • Ensures the most appropriate and cost effective resolution of all claims is reached and that a high level of customer service is attained