Medical Credentialing Specialist
4 weeks ago
We are seeking a Medical Credentialing Specialist to join our team You will work alongside other medical professionals to provide exceptional care to patients.
Qualifications:
· Credentialing Experience and process preferred for managed care companies, hospitals and surgical centers
· Medical practice experience required
· Ability to organize and multitask efficiently
· Excellent verbal and written communication skills
· Ability to professionally adapt to a rapidly changing environment
· Positive attitude towards continuous training
· Ability to work independently as well as in a team environment
· Ability to establish and maintain positive and effective work relationships with coworkers and providers
· CAQH knowledge is preferred but not required
· Microsoft Office Experience (Excel, Outlook, Word)
· Must be able to work and 8-hour shift in office
Responsibilities:
· Complete enrollment/credentialing and re-credentialing applications
· Maintain a detailed log of all pending and completed work
· Communicate the results of status of the applications to manager, physicians and coworkers
· Maintenance of physician enrollment and CAQH profiles
· Documentation within enrollment database
· Coordinate Signatures with manager for providers
· Daily call to insurances for credentialing status
· Research and resolve claim denials due to credentialing issues
Hours: 9:00AM-5:30PM
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Medical Biller Collections Specialist
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Medical Billing Specialist
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Wayne, United States QSS Southeast Clinical Services LLC Full timeJob DescriptionJob DescriptionMedical Billing Collections Specialist. Claims follow Up, Working Denials, Reading and interpreting EOBs, Drafting letters for Appeals, Verifying Billing Codes, Calling Insurance Companies, determining next steps based on AR and Aging Reports. Excellent Communication Skills and strong computer skills needed.
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Medical Billing Specialist
2 months ago
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Medical Billing Specialist
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