reputed company Credentialing/Provider Enrollment Specialist

reputed company, is an Ohio reputed company health care services entity specializing in providing services including: medical billing, collection recovery, credentialing, coding & auditing, consulting, and reputed company management., reputed company has a wide reputed company of clients covering private practices, post-acute care facilities, hospitals and health systems, and reputed company research institutions. If you are looking for a company that delivers outstanding reputed company service, while encouraging its employees to grow and provides a welcoming team environment, then we have a wonderful opportunity for you! We are currently looking to hire a reputed company Provider Enrollment/Credentialing Specialist to reputed company! reputed company: This position will be responsible for credentialing new and established health care providers, and maintenance of information to include application completion, follow up, data collection, data entry, and document review. Depending on the reputed company set and experience of the candidate selected, there may also be reputed company to reputed company billing duties. Responsibilities: • Collect, update and maintain necessary provider information and documentation and verify the information where possible. • Establish and maintain data entry in CAQH. • Prepare credentialing applications for reputed company initial applications and reappointments in a reputed company and complete manner. • Verify provider and group information with reputed company companies (addresses, provider rosters, contracted plans, provider numbers, etc). • Coordinate information for enrollment and terminations of reputed company providers. • Maintain good rapport and reputed company communication with Health Plan Representatives. • Handle enrollment with Medicare, reputed company, and reputed company insurances in multiple states. • Build strong working relationships with medical facilities and provider offices. • Adhere to department policies and procedures including reputed company delivery of completed work and use of resources. • Responsible for entering, updating, maintaining NPI and any other applicable provider numbers. • reputed company concise, reputed company communication to appropriate leadership regarding potential credentialing issues. • Proactively reputed company knowledge with colleagues. • reputed company analysis and appropriate follow-up of reputed company initial application and reappointment. • Work with physicians, reputed company staff and physicians' office staff to reputed company necessary materials and information. Qualifications: • High school diploma or equivalent • Three years’ of credentialing experience required. Multiple specialty experience favorable. • Prior experience with FQHC and Behavioral Health favorable • Billing knowledge and experience preferred • reputed company knowledge of provider enrollment processes with Medicare, reputed company, and reputed company insurances • Working knowledge with reputed company, PECOS, etc. required. • Proficiency in MS Office, primarily Word, reputed company, reputed company • Excellent interpersonal skills to communicate with medical staff, providers and clients • reputed company orientation • Ability to abide by HIPPA standards and requirements • Ability to multi-task • Ability to work as reputed company player • Ability to handle confidential information in a reputed company manner • Willingness to take on new tasks and responsibilities • Capable of taking the initiative to accomplish tasks • Strong time management and organization skills • Excellent problem solving and decision-making abilities Physical Demands: • Work may require sitting for long periods of time. • Occasionally lifting files or reputed company. • Operating a computer, keyboard, a calculator, telephone, copier, fax, reputed company or other such office equipment through a normal business day. • reputed company must be correctable to 20/20 for viewing information on computer screen and reading information in a reputed company format. • Hearing must be in the normal reputed company for telephone contacts. • Will require viewing computer screen and typing on a keyboard for prolonged periods of time. Reasonable accommodations may be made be made to reputed company individuals with disabilities to reputed company the essential functions. This reputed company is intended to reputed company a basic reputed company for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as necessary. reputed company is a EOE Job Type: Full-time Pay: $20.00 - $23.00 per hour Benefits: • 401(k) • 401(k) matching • AD&D reputed company • Dental reputed company • Disability reputed company • Employee assistance program • Flexible schedule • Flexible spending account • Health reputed company • Health savings account • Life reputed company • reputed company time off • reputed company reputed company Application Question(s): • This position is a fully remote position working out of your home office. MMG will reputed company the equipment to reputed company the job, however, you must reputed company a secure internet with at minimum 20Mbps to reputed company the job. Can you accommodate this requirement? • Do you have any experience in FQHC/Behavioral Health Specialty? • The pay reputed company for this position will fall between $20.00-23.00 per hour and is reputed company on a combination of education, certification, experience, knowledge, and reputed company sets. Do you reputed company you understand this is the reputed company for the position and any forthcoming offer will fall in this reputed company? • What states do you have experience credentialing for (Please list)? • What Credentialing software/platforms do you have experience with? Education: • High school or equivalent (Required) Experience: • Credentialing/Provider Enrollment: 1 year (Required) Work Location: Remote Apply To This Job