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Baylor Genetics

Baylor Genetics pioneered the history of genetic testing. Now, we’re leading the way in precision diagnostics.

Credentialing Specialist – Market Access

GeneralGeneralFull TimeRemoteSeniorTeam 501-1,000Since 1978H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

17 hours ago

Salary

0

Seniority

Senior

Bachelor Degree5 yrs expExperience acceptedEnglish

Job Description

Credentialing Specialist – Market Access

Baylor Genetics

• Complete Initial Credentialing & Re-Credentialing applications to gain in-network status with commercial payors & Managed Medicaid payors • Manage and track application submissions via Salesforce • Perform timely follow-ups with payers • Collaborate closely with Market Access Team to gather necessary information and documents for network expansion initiatives • Serve as point person for assigned payers to resolve application and enrollment issues • Monitor expiration dates for assigned payers and enrollments to ensure timely renewal and prevent lapses in participation • Ensure compliance with payer specific requirements and state/federal regulations

Job Requirements

  • Preferred bachelor’s degree with experience of 3 years in Credentialing Services
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • In lieu of degree, 5 year’s minimum experience in Credentialing Services
  • Diagnostic Laboratory experience preferred
  • State Medicaid Provider enrollment experience preferred

Benefits

  • Equal Opportunity Employer
  • Professional development opportunities

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