Credentialing Enrollment Specialist at Blue Cross and Blue Shield of Kansas

This job was posted by https://www.kansasworks.com : For more

information, please see: https://www.kansasworks.com/jobs/13605720 Are

you ready to make a difference? Choose to work for one of the most

trusted companies in Kansas.

• Why Join Us?
• Make a Positive Impact: Your work will directly contribute to

the health and well-being of Kansans.

• Family Comes First : Total rewards package that promotes the

idea of family first for all employees. Paid vacation and sick leave

with paid maternity and paternity available immediately upon hire

• Professional Growth Opportunities: Advance your career with

ongoing training and development programs.

• Dynamic Work Environment: Collaborate with a team of passionate

and driven individuals in a work environment that promotes

flexibility.

• Trust and Stability: Work for one of the most trusted companies

in Kansas with over 80 years of commitment, compassion and

community.

• Inclusive Work Environment: We pride ourselves on fostering a

workplace where everyone is valued and respected.

Benefits & Perks

• Base compensation is only one component of your competitive Total

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

incoming telephone calls, emails, and written correspondence from

professional providers, or their designees, covering all lines of

business regarding their credentialing application. Serve as a resource

for Provider Network Services, Reimbursement Records, and internal

customers of provider records. Directly engage with providers and their

designees regarding questions related to credentialing. Responsible for

reviewing credentialing application against mandatory health plan

accreditation elements to ensure accuracy and completeness prior to

Corporate Credentialing Committee review for network enrollment and

participation.

"This position is eligible to work hybrid or onsite in accordance with

our Telecommuting Policy. Applicants must reside in Kansas or Missouri

or be willing to relocate as a condition of employment."

What you'll do

• Responsible for reviewing credentialing applications and preparing

limited to, outreach to providers or their designees to obtain

missing information and/or update expired CAQH application.

• Complete primary source verification including license, board

Practitioner Data Bank, professional liability coverage, and

accreditation status.

• Provides education and answers questions timely and accurately for

• Responsible for adding providers to the CAQH Roster prior to

• Complete credentialing system record entry, coordinate enrollment

after credentialing completion.

• Monitors, records, and assigns incoming paper credentialing

• Understand and interpret credentialing compliance rules and

• All credentialing activities must be completed according to

corporate, and federal compliance requirements.

What you need

Knowledge/Skills/Abilities**

• Responsible for preparing co fidential documents and must maintain

strict confidentiality.

• Independently determines best approach to solving problems.
• Ability to focus on details with the ability to rapidly switch tasks

to complete diversified work items within prescribed deadlines.

• Must comply with Corporate Compliance Program to ensure proven

network value and integrity.

• Must complete annual accreditation standards education/training on

job functions that is included as part of the adopted and in place

health plan accreditation. Must be able to follow required

Education And Experience

accreditation standards as required for essential job functions.

High school graduate or equivalent required with additional education in

communications, human relations, or medical terminology.

One year of operational experience within BCBSKS to include customer

services, claims or membership, or 2 years demonstrated experience

working with medical insurance or provider licensing is strongly

preferred.

Strong computer skills to operate effectively wi