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Professional Health Care Network (PHCN) dba tango manages the home health benefit for major insurance plans with a focus on Medicare Advantage and managed Medicaid patients. tango reviews home health care referrals for appropriateness and then coordinates with a network of contracted agencies to provide the care needed for patients. On an ongoing basis, we provide review and oversight of clinical care and determine further authorizations.
tango is looking for a detail-oriented self-starter to work directly with our Senior Manager of Network Operations to provide administrative support in helping manage the credentialing function of the organization. The Credentialing Specialist is responsible for ensuring the tango home health agency network operates in compliance of their agreement with tango, and State and Federal laws. Additionally, the Credentialing Specialist will support audits and projects that affect agency contracting and credentialing.
Responsibilities
Essential functions of the job are listed below. Other responsibilities may also be assigned. Please note that the essential functions may vary depending on department size, organizational structure and/or geographic location. Reasonable accommodations may be made to allow differently abled individuals to perform the essential functions of the job.
Primary Responsibilities
Additional Responsibilities
Organizational Competencies: Entry to Mid-Level
Minimum Qualifications
The following are the minimum qualifications that an individual needs in order to successfully perform the duties and responsibilities of this position. Please note that the minimum qualifications may vary based upon the department size and/or geographic location.
Knowledge/ Experience
Skills/ Abilities Pertinent to This Position
tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.
Full Time
$40k-50k (estimate)
04/13/2024
06/11/2024
professionalcares.com
Phoenix, AZ
25 - 50