Insurance Credentialing
Business Insurance Credentialing Specialist Needed – Home Health & PAS Agency (Texas)
We are seeking an experienced healthcare insurance credentialing specialist to assist our growing Texas-based home health and PAS agency with payer enrollment, contract follow-up, and network participation management.
Agency Services:
- Home Health Skilled Nursing
- PAS / Personal Attendant Services
- Medicaid & Medicare
- Adult and Pediatric Services
Experience Required:
- Home Health agency credentialing
- Texas Medicaid MCO enrollment
- Medicare/Medicaid provider enrollment
- Availity experience preferred
- PECOS / TMHP knowledge preferred
- Experience working with managed care organizations (MCOs)
Current Payers Include:
- Wellpoint
- Molina
- Superior HealthPlan
- UnitedHealthcare
- Aetna
- Cook Children’s Health Plan
- Other Texas Medicaid MCOs
Responsibilities:
- Follow up on pending credentialing applications
- Contact insurance representatives directly
- Assist with adding additional service lines to existing contracts
- Track credentialing statuses and provider IDs
- Submit and monitor enrollment applications
- Help resolve payer portal or enrollment issues
- Maintain organized credentialing spreadsheets and updates
- Assist with contracting and recredentialing tasks
Ideal Candidate:
- Strong communication skills
- Organized and detail-oriented
- Able to independently follow up with insurance companies
- Familiar with home health billing/provider structures
- Understands Texas Medicaid and managed care systems
Project Type:
Ongoing / Long-Term Preferred
Please respond with:
1. Your credentialing experience
2. Which payers you have worked with
3. Experience with home health or PAS agencies
4. Your hourly or project rate
5. Availability for weekly follow-up tasks
Apply tot his job
Apply To this Job
We are seeking an experienced healthcare insurance credentialing specialist to assist our growing Texas-based home health and PAS agency with payer enrollment, contract follow-up, and network participation management.
Agency Services:
- Home Health Skilled Nursing
- PAS / Personal Attendant Services
- Medicaid & Medicare
- Adult and Pediatric Services
Experience Required:
- Home Health agency credentialing
- Texas Medicaid MCO enrollment
- Medicare/Medicaid provider enrollment
- Availity experience preferred
- PECOS / TMHP knowledge preferred
- Experience working with managed care organizations (MCOs)
Current Payers Include:
- Wellpoint
- Molina
- Superior HealthPlan
- UnitedHealthcare
- Aetna
- Cook Children’s Health Plan
- Other Texas Medicaid MCOs
Responsibilities:
- Follow up on pending credentialing applications
- Contact insurance representatives directly
- Assist with adding additional service lines to existing contracts
- Track credentialing statuses and provider IDs
- Submit and monitor enrollment applications
- Help resolve payer portal or enrollment issues
- Maintain organized credentialing spreadsheets and updates
- Assist with contracting and recredentialing tasks
Ideal Candidate:
- Strong communication skills
- Organized and detail-oriented
- Able to independently follow up with insurance companies
- Familiar with home health billing/provider structures
- Understands Texas Medicaid and managed care systems
Project Type:
Ongoing / Long-Term Preferred
Please respond with:
1. Your credentialing experience
2. Which payers you have worked with
3. Experience with home health or PAS agencies
4. Your hourly or project rate
5. Availability for weekly follow-up tasks
Apply tot his job
Apply To this Job