Matrix Medical Network is the leading provider of in-home and facility community based care management services and is in the process of revolutionizing health-care solutions. Matrix was founded in 2000 and is headquartered in Scottsdale, Arizona, with a regional office in Largo Florida. Matrix has a national clinical organization which provides high-touch, in-home and mobile clinic care to help health plans balance cost and revenue, grow membership and improve the quality of care. After nearly doubling in size in recent years, Matrix continues to be well positioned for continued expansion.
The Credentialing Specialist role can make an impact:
This role is responsible for credentialing and re-credentialing Matrix Medical Network providers as well as ensuring enrollment with Medicaid, Medicare and participating client health plans. Credentialing functions include, but are not limited to, processing Matrix Credentialing Applications, performing primary source verifications and updating and maintaining the Matrix credentialing database in accordance with internal policies and procedures, client health plan contracts, NCQA guidelines as well as applicable state and federal requirements.
Join our team and reap the rewards:
Associates or Bachelors in Business, Finance, Health Care or related field or high school diploma and relevant combination of education and experience
Required Skills and Abilities
Up to three years credentialing experience in a health care setting to include up to two years of practitioner enrollment, credentialing or network services experience
Experience with MD-Staff or similar practitioner credentialing, data collection and record management system
Exceptional critical thinking skills, sound judgment and the ability to communicate in an articulate and sensitive manner with practitioners, administrators, legal counsel and client credentialing personnel
Demonstrated ability and commitment to excellent customer service to maintain and ensure effective working relationships with internal and external clients
Certified Practitioner Credentialing Specialist (CPCS)
Experience with NCQA, URAC and/or The Joint Commission guidelines and standards related to credentialing
Experience with MS Office
Matrix Medical Network is Proud to be an Equal Opportunity Employer
Credentialing Specialist is based in our Scottsdale: 9201 E Mountain View Road, Suite 220 Scottsdale, AZ 85258. Matrix Medical Network partners with leading health plans and providers across the country. Primary Location: Scottsdale-Arizona Work Locations: 9201 E Mountain View Road, Suite 220 Scottsdale, AZ 85258 Job: Credentialing Specialist Schedule: Regular Shift: Standard Employee Status: Individual Contributor Job Type: Full-time Job Level: Day Job Travel: Primary Location-United States 9201 E Mountain View Road, Suite 220 Scottsdale, AZ 85258 Hours: Monday - Friday 8AM - 5PM. No on-call, evening or weekend hours. Credentialing Specialist, Schedule, Full-Time, Regular, Job Type, Standard, Pay, Hours