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Revenue Cycle Credentialing Specialist at Exact Sciences Corporation - ApplyBlast

Revenue Cycle Credentialing Specialist

Exact Sciences Corporation

3 months ago

Madison, Wisconsin

Onsite

Full Time

Senior

0 applicants

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About this role

The Revenue Cycle Contract Credentialing Specialist facilitates contract implementation and manages the credentialing of contracts for government and commercial payers. This role works closely with market access and legal teams to ensure alignment with corporate goals and regulations while maintaining provider enrollment in Medicare/Medicaid programs. The position is field-based, requiring interaction with internal and external stakeholders to process applications and resolve payor issues.

Responsibilities

Prepare and maintain credentialing files for all payors and government entities
Process applications with third party payors according to individual requirements
Enroll providers in Medicare and Medicaid programs as prescribed by program requirements
Track licensure and accreditation expiration dates to ensure regulatory compliance
Serve as liaison between subsidiaries, billing agents, and payors to ensure revenue pull through

Skills

Qualifications

Associates degree in healthcare administrationHigh school degree or GED

About Exact Sciences Corporation

exactsciences.com

Headquarters

Madison, Wisconsin, United States

Company Size

5001-10000 employees

Founded

1995

View Profile

Exact Sciences is a leading company dedicated to cancer prevention and early detection through innovative testing solutions. Specializing in molecular diagnostics, the firm provides advanced tests that help identify potential malignancies and guide therapy decisions. Their flagship product, Cologuard, is a non-invasive screening test for colorectal cancer, contributing significantly to patient health management. Exact Sciences aims to enhance patient outcomes by promoting early detection and regular screenings.