Senior Associate Job

Employer Name: OperationsCrossing	SpiderID: 2163601
Location: Denver, Colorado	Date Posted: 3/20/2008
Wage:	Category: General Labor
Job Code:

Job Description:
The company is part of Ovations, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans ages 50 and older. We are searching for an experienced claims/billing credentialing specialist with a strong healthcare industry background to join our Denver team. As a Credentialing / Operations Analyst, you would support our healthcare operations while enjoying autonomy and plenty of variety in a rapidly expanding field. Ready to take the next step in your career? Apply today. Primary responsibilities include: Serving as Center for Medicare and Medicaid Services (CMS) liaison Utilizing CMS reports to smooth Medicare enrollment, disenrollment and other eligibility changes, moderating unintended member eligibility changes Coordinating credentialing for skilled nursing facilities, physicians and other providers Serving as a local credentialing point-of-contact for providers Performing completeness reviews of credentialing applications, and monitoring the credentialing process to ensure timely processing Handling provider contract loading and demographic update support Supporting staff provider relations by completing in-office claims and other analysis, freeing Provider Relations reps to visit providers Requirements: The chosen candidate must possess.

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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:

Contact Information:

Contact Name: -	Company Type: Employer
Company: OperationsCrossing

City: Pasadena
State: California
Zip: