Medical Credentialing Specialist

4 weeks ago


Wayne, United States Coda Staffing Full time
Job DescriptionJob Description

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



  • Wayne, United States HEARTS ENTERAL LLC Full time

    Job DescriptionJob DescriptionWe are a boutique Durable Medical Equipment Company that supplies enteral nutrition formulas including medical foods for inborn errors of metabolism. We are seeking a remote experience medical biller collections specialist, preferably with a DME and enteral supplies background.Hearts Enteral is the sister company of our...


  • Wayne, United States HEARTS ENTERAL LLC Full time

    Job DescriptionJob DescriptionWe are a boutique Durable Medical Equipment Company that supplies enteral nutrition formulas including medical foods for inborn errors of metabolism. We are seeking a remote experience medical biller collections specialist, preferably with a DME and enteral supplies background.Hearts Enteral is the sister company of our...


  • Wayne, United States QSS Southeast Clinical Services LLC Full time

    Job DescriptionJob DescriptionLooking for a highly motivated, detail oriented Medical Cilling Specialist


  • Wayne, United States QSS Southeast Clinical Services LLC Full time

    Job DescriptionJob DescriptionLooking for a highly motivated, detail oriented Medical Cilling Specialist


  • Wayne, United States QSS Southeast Clinical Services LLC Full time

    Job 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.


  • Wayne, United States QSS Southeast Clinical Services LLC Full time

    Job 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.


  • Fort Wayne, United States Health Career Associates Full time

    Neonatal  - Pediatriac Transport Specialist  24 hours per week including weekends, part time benefit eligible position. 7PM-7AM   $15,000 sign on bonus -  Relocation bonus    RequirementsMust be a graduate of a respiratory therapy program.Must have successfully completed the Registered Respiratory Therapist & Perinatal Specialist Exam (NPS...


  • Fort Wayne, United States Parkview Health Full time

    Summary The PPG Informatics Specialist will be responsible to work with providers, clinical and other staff to optimize usage of EHR through education and implementation of optimal build and/or workflow improvements. Provides education and support in accordance with organization goals, acts as liaison on behalf of provider/clinical EHR needs and implements...

  • Medical Oncologist

    4 months ago


    Fort Wayne, United States Parkview Regional Medical Center Full time

    Balance of Subspecialty Medical Oncology, income, and lifestyle for Oncologists with the Parkview Packnett Family Cancer Institute (PFCI) At Parkview Packnett Family Cancer Institute, we have a novel clinical model which allows for disease site-based management.Parkview Cancer Institute combines our specialists into clinics based on disease states and wraps...


  • Wayne, United States Soliant Full time

    Minimum 1+ years school psychologist experience required.Soliant is Hiring! Location: Wayne, Illinois Caseload: Caseload may depending on school site (K - 12) Are you an experienced Behavior Specialist, inWayne, IL, looking for a change in your work environment, a pay increase, or the flexibility to choose from our state-of-the-art benefits package? You now...


  • Fort Wayne, United States Parkview Health Full time

    Change a Life Today. Yours. Choose Parkview . Offering Sign-on and Relocation Bonus! Meet one of our co-workers and learn more about Parkview Respiratory Care Proud to Bleed Green: John - YouTube The Respiratory Care department is looking for top talent and offering highly competitive wages with increased starting rates with...


  • Fort Wayne, United States Parkview Health Full time

    Change a Life Today. Yours. Choose Parkview . Offering Sign-on and Relocation Bonus! Meet one of our co-workers and learn more about Parkview Respiratory Care Proud to Bleed Green: John - YouTube The Respiratory Care department is looking for top talent and offering highly competitive wages with increased starting rates with...


  • Wayne, United States Coda Staffing Full time

    Job DescriptionJob DescriptionON SITE M-FPTO SICK MEDICAL 401K$24-$28 an hourThis department only desires to interview candidate who can do later hours (10am-6:30pm or 11am-7:30pm).The ideal candidate for our billing department is someone who has some prior billing experience, familiar with general medical terminology, and some insurance knowledge....


  • Wayne, United States Coda Staffing Full time

    Job DescriptionJob DescriptionON SITE M-FPTO SICK MEDICAL 401K$24-$28 an hourThis department only desires to interview candidate who can do later hours (10am-6:30pm or 11am-7:30pm).The ideal candidate for our billing department is someone who has some prior billing experience, familiar with general medical terminology, and some insurance knowledge....


  • Wayne, United States Coda Staffing Full time

    Job DescriptionJob DescriptionThe ideal candidate for our billing department is someone who has some prior billing experience, familiar with general medical terminology, and some insurance knowledge. Additionally, they have strong communication skills, reliable, and able to work individually. Below are more qualifications we are looking for:Required...


  • Wayne, United States Coda Staffing Full time

    Job DescriptionJob DescriptionThe ideal candidate for our billing department is someone who has some prior billing experience, familiar with general medical terminology, and some insurance knowledge. Additionally, they have strong communication skills, reliable, and able to work individually. Below are more qualifications we are looking for:Required...

  • Medical Assistant

    1 week ago


    Wayne, United States Penn Medicine Full time

    Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today...

  • Medical Assistant

    7 days ago


    Wayne, United States Penn Medicine Full time

    Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today...


  • Wayne, United States RemX Full time

    Now hiring for a Eligibility Specialist in Houston, TX, 77018 (Heights Area)! This position will have hours of 8-5, M-F and is contract to hire. Requires experience working in a healthcare insurance field or handling payments/appeals/denials. Help People and Help Grow Your Career! Do you have the desire, personality, and people skills to work in the medical...


  • Wayne, United States RemX Full time

    Now hiring for a Eligibility Specialist in Houston, TX, 77018 (Heights Area)! This position will have hours of 8-5, M-F and is contract to hire. Requires experience working in a healthcare insurance field or handling payments/appeals/denials. Help People and Help Grow Your Career! Do you have the desire, personality, and people skills to work in the medical...