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Adecco US, Inc.

Credentialing Specialist – Managed Care

Adecco US, Inc., Knoxville, Tennessee, United States, 37955

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Adecco Healthcare & Life Sciences is currently hiring a

Credentialing Specialist — Managed Care

in

Knoxville, TN

.

This is an

on-site

position!

Please read below and apply with an updated resume for consideration:

Pay:

$20 to $25/hr

Schedule:

Monday–Friday, 8:00 AM — 4:30 PM

Assignment Type:

Temp to Hire

Primary Responsibilities

Process payer enrollment, facility credentialing, hospital credentialing, and re-credentialing applications for physicians and advanced practice professionals

Manage

Out-of-State Medicaid (OOS)

enrollment for facilities and providers, including OOS Medicaid HMO plans

Review credentialing and enrollment applications for accuracy and completeness

Prepare and distribute requests for information, verification letters, and background checks

Verify licensure, DEA registration, board certification, and malpractice insurance

Track and maintain expirables including licenses, DEA, and board certifications

Enter and maintain credentialing data in credentialing databases (Visual Cactus preferred) and state-level payer systems

Follow up on payer enrollment status, reappointments, demographic changes, and coverage updates

Maintain accurate, confidential, and organized provider credentialing files

Qualifications

Minimum 3 years of experience in payer enrollment, hospital credentialing, or physician credentialing

Knowledge of Joint Commission and credentialing standards

Strong data entry, organizational, and communication skills

Ability to manage multiple priorities with minimal supervision

Pay Details:

$20.00 to $25.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

The California Fair Chance Act

Los Angeles City Fair Chance Ordinance

Los Angeles County Fair Chance Ordinance for Employers

San Francisco Fair Chance Ordinance

Massachusetts Candidates Only It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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