Credentialing Specialist

2 weeks ago


Morrow, United States Physician 1st Billing and Credentialing Services Remote Work Freelance Full time $20 - $25
Requirements:
  • Minimum of 2 years experience in provider enrollment preferred
  • Knowledge of the Medicare, Medicaid & third-party provider credentialing processes
  • Proficiency in Microsoft Office, particularly Word and Excel
  • Proficiency in CAQH, PECOS & NPPES preferred
  • Professional written and verbal communication and interpersonal skills
Responsibilities:
  • Initiate enrollment with insurance companies for all new providers
  • Maintain the timelines on enrollment schedules, communicate with billing and the office managers on updates as needed, and explain payer information requirements
  • Work closely with physicians and office managers to obtain missing documentation on providers for enrollment with insurance companies
  • Follow-up with insurance companies for provider participation status
  • Complete re-credentialing for existing providers
  • Able to effectively communicate with team members, billing staff, and insurance companies
  • Retain detailed and accurate lists of insurance for which clients participate
  • Performs other related duties, which may be inclusive but not listed in the job description



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