Credentialing Specialist with CredentialStream Experience Job at Caduceus Inc
Position Overview:
The Credentialing Specialist is responsible for initiating and maintaining provider credentialing with all payers to ensure proper enrollment and reimbursements.
Essential Functions:
- Thorough knowledge and proficiency in all aspects of credentialing in a professional healthcare practice setting.
- Understanding of the credentialing processes as it relates to payer applications, specialties, CAQH maintenance, service locations and other details that could impact reimbursement.
- Ensures timely completion of credentialing and re-credentialing of providers for all insurance payers
- Conduct follow-ups via phone, email, payer rosters or as otherwise indicated.
- Thorough knowledge CAQH.
- Maintains expiring credentials
- Acts as liaison with Practitioners, practice managers, provider services team and insurance payers.
- Maintains internal files including provider rosters, copies of current credentials and load/scan all documents into the credentialing database.
- Understanding of primary source verification as it relates to credentialing best practices in provider enrollment
- Other assigned duties/tasks
Professional experience:
- Bachelor Degree preferred or equivalent experience in business/healthcare environment.
- 3+ years of applicable experience in credentialing and enrollment. Multi-specialty experience is a big plus.
- Excellent written and verbal communication skills with superior attention to detail.
- Ability to multi-task under tight timelines with strong administrative and exceptional organizational skills.
- Proficient in Microsoft Office Suite; Word, Excel, PowerPoint, and Outlook.
- Advanced knowledge credentialing databases or reporting systems.
Work environment:
- A standard business environment exists with moderate noise levels.
- Ability to lift and move approximately thirty (30) pounds on a non-routine basis.
- Ability to sit for extended periods of time.
- Long periods of computer usage
- Handling – seizing, holding, grasping and fingering of objects, tools and controls
- Vision – close vision
- Hearing- ability to receive detailed information through oral and telephonic communication
Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.