Medical Billing and Credentialing Specialist
2 weeks ago
The Medical Billing and Credentialing Specialist plays a crucial role in supporting the payer credentialing process, which includes initial provider enrollment and re-enrollment. This position requires close collaboration with relevant personnel to ensure the completion of necessary procedures. The specialist is responsible for gathering all pertinent information from providers and their malpractice insurers, and for conducting timely follow-ups on all pending provider enrollment applications and contracts.
Key Responsibilities:
- Possess a solid understanding of procedure and diagnosis coding.
- Accurately post charges to the billing system.
- Complete claims submissions to payers effectively.
- Review all claims prior to submission in accordance with departmental guidelines and the Intergy billing system.
- Maintain compliance with HIPAA regulations to safeguard patient information from unauthorized access.
Additional Information:
This job description outlines the general nature of the work being performed and is not intended to be an exhaustive list of responsibilities, duties, and skills required of employees. Responsibilities may change at the discretion of the employer.
Qualifications:
Applicants should have a high school diploma or equivalent, along with 2-3 years of relevant experience in Medical Billing and Credentialing. Proficiency in spoken and written English is essential. The ideal candidate will be a self-starter with strong organizational abilities and possess excellent written and verbal communication skills.
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