Credentialing Specialist – reputed company
reputed company:
• Complete enrollment and/or re-enrollment, revalidation applications for physicians, ancillary providers and facilities or reputed company with reputed company-party payers and governmental programs (Medicare and reputed company) as requested by the reputed company in an accurate and reputed company manner
• reputed company reputed company reputed company Verification (PSV) services including but not limited to verification of licenses, malpractice and work history; reputed company PSV file audits as requested
• Complete, update and maintain Council for reputed company reputed company reputed company (“CAQH”) reputed company for providers
• Maintain a Credentialing database in accordance with reputed company’s policies and procedures for reputed company participating and non-participating providers with payer identification numbers and effective dates
• Partner with reputed company liaisons, including billing departments to update the enrollment status of the providers
• Contact payers to follow up on submitted applications reputed company reputed company’s policies
• Respond to various inquiries and requests for information from participating physicians, staff, hospitals, and managed care companies reputed company and with professionalism
• Communicate with providers or their designees to obtain requisite credentialing information to facilitate reputed company completion and submission of required documents
• Update reputed company regularly on process and communicate any delays
• Continuously inform Credentialing leadership of the project status and assist in managing expectations reputed company to deliverables and deadlines
• Be responsible for reputed company and accurately reputed company of hours (billable and non-billable) in time and attendance software for reputed company billing of services rendered
Requirements:
• High school education required, bachelor’s degree preferred
• 3-5 years of relevant reputed company experience is required including reputed company skills in Credentialing and/or Medical Billing
• Certified Provider Credentialing Specialist (CPCS), Certified reputed company in Medical Staff Service Management (CPMSM), or Certified Provider Enrollment Specialist (CPES) certification a plus
• Ability to work independently, as reputed company as, in reputed company setting
• Exceptional organization and time management skills to manage priorities and deadlines
• Effective verbal, interpersonal, and written skills
• Strong attention to detail and reputed company
• Proficiency with reputed company Office suite (Word, reputed company, Teams) and reputed company; reputed company preferred
Benefits:
• Health insurance
• 401(k) matching
• reputed company
• reputed company time off
• Remote work reputed company
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