Contract Credentialing Specialist

Contract Credentialing Specialist | Atos Medical-US | New Berlin, WI

This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed.

Join a growing company with a strong purpose!

Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide.

About Atos Medical

Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users.

Atos Medical has an immediate opening for a Contract Credentialing Specialist.

Summary

This Contract Credentialing Specialist will primarily be responsible for maintaining the good standing for our government-funded (Medicaid) contracts. They will assist in updating all required compliance items to ensure there are no disruptions to billing or patient services.

Essential Functions

• Manage the administrative duties for all government-funded and commercial payer accounts (web portal access, demographic updates, licensure updates and renewals)
• Manage the administrative duties for all company issued licenses and state certifications/registrations
• Process and complete any credentialing/re-credentialing applications for all government-funded health plans; monitor the applications and follow-up as needed
• Assist the Contract & Credentialing Manager with any applications or credentialing initiatives for the commercial contracts and health plans
• Maintain compliance with all Federal, State and local regulations as well as internal policies and procedures
• Manage and update the list of contracted health plans and payers for our external venders/distributors, physician partners and Coloplast owners
• Maintain and update any contract-related reference sheets, job aids, tracking sheets and reference guides as well as assisting leadership with distributing any companywide internal FYI communications regarding new payer contracts or policy changes
• Assist with any other assignments or duties as requested

Skill and Abilities

• Proficient in Microsoft Office and able to quickly learn and navigate new systems and technologies
• Able to understand, interpret, and follow complex instructions while making sound decisions to complete tasks accurately
• Demonstrates adaptability and maintains composure in high-pressure situations, including managing heavy workloads and tight deadlines
• Strong verbal and written communication skills, with the ability to convey information clearly and professionally across all levels of the organization
• Able to collaborate effectively across cross-functional teams, building strong working relationships to achieve shared goals
• Effectively prioritizes work and manages time to meet deadlines and objectives
• Highly organized with strong attention to detail
• Self-motivated with the ability to take initiative and work independently to achieve goals
• Capable of managing multiple tasks and projects simultaneously while maintaining quality and efficiency

Basic Qualifications

• High School Diploma or G.E.D
• Minimum of 3 years of experience in the business field (within the last 5 years)

Preferred Qualifications

• 1+ year of Medical Credentialing and Licensing experience (within the last 24 months)
• Bachelor's Degree
• Certified Provider Credentialing Specialist (CPCS)

Atos Medical, Inc. is an Equal Opportunity/Veteran/Disabled Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. To request reasonable accommodation to participate in the job application, please contact 800-217-0025.

Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox, Provox Life and Tracoe.

We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business.

Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma.

Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S

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