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Sedgwick County

COMCARE Billing Specialist - COMCARE

wichita, KS

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Job description

Department: COMCARE

Job ID: 13244

Pay: $18.79 per hour

Work Schedule: Monday-Friday, 8:00am-5:00pm

Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits.

Submits new and renewal credentialing applications for Health and Human Services' licensed provider staff to all applicable Managed Care Companies. Monitors the licensing renewal dates of all licensed provider staff.

Provider Credentialing

Prepare credentialing documents for licensed providers

Submit both credentialing and re-credentialing applications to various companies

Compile provider information on roster spreadsheets for the KanCare Managed Care Organizations

Data entry of provider information into various websites

Communicate with providers regarding any missing credentialing documentation

Follow up with payors to obtain credentialing effective dates

Manage provider data Track license/certification renewal dates

Notify providers when certifications/licenses are within one month of expiration

Obtain documents and scan into On base

Submit address/license updates to applicable Managed Care Companies

Maintain online credentialing database which is accessible by various payers

Update and maintain staff record within Avatar

Update and maintain Managed Care panel listings

Review weekly claim error reports to determine if additional information is needed on the provider record

Customer Service Answer phone calls and take necessary action to resolve issue

Work with provider relations representatives to obtain necessary credentialing information related to submitting credentialing data correctly

Resource for assisting providers with all Credentialing questions

Provide notification to COMCARE/Health providers when credentialing status has changed

Minimum Qualifications: High School Diploma or equivalent. One year office or administrative support. Must meet minimum scores on identified skills testing. Post-Interview test required is MS Excel 70%. Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check, adult abuse registry, and motor vehicle screens. Must complete orientations provided by Sedgwick County and COMCARE.

Preferred Qualifications: Some College. One year credentialing experience.

Applicants have rights under Federal Employment Laws. Please find more information under the following link. Apply for a Job | Sedgwick County, Kansas

Worksite address

wichita, KS, 67232, US

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