All roles

Open role

[Hiring] Compliance & Credentialing Specialist @Ansible Government Solutions

Remote · Colombia Full-time

Role Description Ansible Government Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist. This work-from-home position is responsible for carrying out various day-to-day responsibilities that support the team with credentialing and compliance initiatives. This individual will evaluate, analyze, and coordinate all aspects of the credentialing process for healthcare providers. They will also help to lead all aspects of the security and background check processes with candidates via remote correspondence. We strongly desire previous experience navigating federal background investigation requirements, particularly the requirements of the Department of Veterans Affairs.

Responsibilities

  • Coordinates and reviews provider files for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards.
  • Monitors provider files to ensure completeness and accuracy.
  • Conducts research on updated state and federal regulations and policies.
  • Coordinates and reviews provider security and background check documents for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards.
  • Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers as related to the security process.
  • Prepares and provides information to internal and external customers, as appropriate.
  • Enters, updates, and maintains data from provider files into credentialing database in accordance with internal policies and procedures.
  • Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers.
  • Participates in the development and implementation of process improvements related to credentialing and compliance.
  • Prepares and analyzes reports and data and can clearly communicate findings and results.
  • Communicates clearly with providers and their liaisons to provide timely responses upon request on day-to-day credentialing and privileging matters that arise.
  • Supports multiple team members and projects simultaneously and prioritizes in a fast-paced environment.
  • Performs miscellaneous job-related duties as assigned.

Qualifications

  • Must have a minimum of 5 years of credentialing experience.
  • Bachelor’s or associate degree preferred.
  • Prior government contracting experience strongly preferred.
  • Eligible to work in the United States.
  • Highly developed oral and written communication skills.
  • Highly organized and strong time management skills.
  • Must be extremely detail oriented and able to multitask.
  • Ability to handle confidential information in a professional manner.
  • All candidates must be able to:
  • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift.
  • Lift up to 50 lbs from floor to waist.
  • Lift up to 20 lbs.
  • Carry up to 40 lbs a reasonable distance.
  • Push/pull with 30 lbs of force.

Requirements

  • All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

More open positions

Sr. Insurance Verification Representative

Work from home Full-time role

[Hiring] Patient Eligibility Verification Specialist @Skilled Wound Care

Work from home Full-time role

Insurance Verification Coordinator II – Durable Medical Equipment (DME) {169526}

Work from home Full-time role

Insurance Verification & Authorization Supervisor

Work from home Full-time role

Supervisor, Benefits Verification

Work from home Full-time role

Anti-Fraud Officer (remote, Malaysia)

Work from home Full-time role

Ingeniero/a de Software IA Generativa (Azure / .NET / Python)

Work from home Full-time role

[Remote] Network Services Manager - Remote

Work from home Full-time role

Senior AI / Machine Learning Engineer

Work from home Full-time role

Territory Sales Manager

Work from home Full-time role

Executive Director, Sales-Health Systems - SE Region

Work from home Full-time role

Insurance Training Specialist II (58825)

Work from home Full-time role

Remote Venture Capital Analyst ($100/hr) - 75406

Work from home Full-time role

Data Quality Engineer Sênior

Work from home Full-time role

Operations Executive

Work from home Full-time role

Experienced Full Stack Data Analyst – Web & Cloud Application Development at careerzynith

Work from home Full-time role

Genetic Counselor- Remote

Work from home Full-time role

$14/HR - Inside Sales Associate

Work from home Full-time role

General Application

Work from home Full-time role

[Remote] Lead Research Engineer

Work from home Full-time role

Especialista En Marketing Digital Y Gestión De Contenidos

Work from home Full-time role