Cano Health fosters a culture driven by providing superior primary care services in the communities we serve, while forming lifelong bonds with our members. Guided by our mission to improve the health, wellness, and quality of life of our patients, Cano Health continues to work towards making a difference in primary healthcare.

The Credentialing Associate is responsible for all aspects of the privileging and credentialing process for all licensed clinician/providers of the center (i.e. physicians, physician assistants, ARNPs, dentist, dental hygienist, clinical counselors, etc.). In addition, this position is responsible for all communication leading toward insurance panel accreditation for staff and center.

Responsibilities:

• Schedule is onsite M-F in our corporate office here in Doral, Florida.
• 2-3 years' experience in provider credentialing is preferred
• Researches and processes new health plans applications for Center and its providers.
• Manages health plans enrollments, increasing plan acceptance/participation for Center and all providers using applicable software (i.e. OneApp Pro)
• Provides consistent, accurate, and timely credentialing support for Center’s accreditation process.
• Acts as coordinator for furthering any and all Center’s wide certifications it may decide to pursue.
• Acts as internal resource around issues associated with public funding sources, such as Medicaid and Medicare, as well as private payors.
• Ensures Center and its providers take advantage of all the existing incentive initiatives through Medicaid and Medicare with the submission of the appropriate application
• Provides accurate, timely and documented verification of the information provided by new applicants as well as current providers.
• Assists with the onboarding process of medical, dental and behavioral health services providers.
• Verifies, researches, and responds to telephone and written inquiries from providers and other departments, pertaining to provider participation and credentialing status.
• Works with medical and finance staff to ensure list of all current payers sorted by the number of patients within each group and all insurance carriers sorted by the type of product (Medicaid, Medicare, or CHIP), patient copay and fee schedule are kept and updated regularly.

This is an exciting opportunity for a highly motivated individual who is passionate about ensuring organizational compliance. We offer competitive compensation packages, comprehensive benefits, and opportunities for professional growth. If you have the required skills and experience, we encourage you to apply for this position.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance

Schedule:

• 8 hour shift

Work Location: In person