Medical Provider Enroller

2 weeks ago


New Hyde Park, New York, United States E. Central Medical Management Inc. ECM Full time
About E. Central Medical Management Inc. ECM

We are a leading medical management company founded in 1999, dedicated to helping medical providers stay profitable and providing total practice solutions. Our services include billing and coding, credentialing, practice management, compliance, revenue enhancement, marketing, and more.

Job Title: Credentialing Specialist

We are seeking a part-time Credentialing Specialist to join our team. In this role, you will be responsible for credentialing physicians and other medical providers into various insurance companies. Your primary goal will be to ensure timely and accurate completion of all necessary documentation for Electronic Remittance Advice (ERA) processing.

This role is crucial in ensuring that providers are enrolled with payers for the receipt of ERAs, optimizing claim processing and payment reconciliation. You will be responsible for communicating with both government and commercial payers, working with medical providers and their office staff, requesting, completing, and submitting all documentation to complete applications, and continuous follow-up to ensure completion of the process.

Key Responsibilities:
  • Ensure timely and accurate completion of all necessary documentation for ERA processing
  • Communicate with government and commercial payers, medical providers, and office staff
  • Request, complete, and submit all documentation to complete applications
  • Perform continuous follow-up to ensure completion of the process
Requirements:
  • High school diploma or equivalent
  • 1-2 years of credentialing experience
  • Familiarity with ERA / EFT setup
  • Intellisoft experience is preferred, but not required
  • Excellent communication and interpersonal skills
  • Excellent organizational skills with strong attention to detail
  • Proficient in Office 365


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