Baylor Genetics pioneered the history of genetic testing. Now, we’re leading the way in precision diagnostics.
Credentialing Specialist – Market Access
Location
United States
Posted
17 hours ago
Salary
0
Seniority
Senior
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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