REMOTE Contract and Credentialing Specialist Job at Insight Global, Nashville, TN

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  • Insight Global
  • Nashville, TN

Job Description

Job Description

Job Description

REQUIRED SKILLS AND EXPERIENCE

Associates Degree

2-3 years of exp in credentialing and payor contracting within a healthcare setting

Strong knowledge of provider enrollment, credentialing standards, and healthcare regulations

Proficiency with CAQH, PECOS, NPPES, and payor portals.

 

NICE TO HAVE SKILLS AND EXPERIENCE

Bachelors Degree

Experience in home infusion, specialty pharmacy, or physician group practice credentialing/contracting.

Familiarity with managed care payor agreements, contract language review, and negotiation support.

Experience with database management systems or credentialing software solutions.

Knowledge of billing, reimbursement models, and payer/provider network management.

 

JOB DESCRIPTION

The Contract Administrator and Credentialing Specialist Infusion is a dual-role position ensures that all pharmacy and provider contracts, payor agreements, and credentialing files are accurate, up to date, and in compliance with regulatory and organizational standards. The ideal candidate will have a strong background in healthcare administration, credentialing, and contract management, with the ability to work independently and collaboratively across departments.

 

Job Tags

Contract work,

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