Credentialing Specialist

4 weeks ago


MagstattleBas, Grand Est, United States Limitless Male Full time
Job Title: Credentialing Specialist

Limitless Male Medical is seeking a highly skilled Credentialing Specialist to join our Revenue Cycle team. As a Credentialing Specialist, you will be responsible for ensuring that our providers are properly credentialed and enrolled with payers to ensure compliance with state, federal, and payer regulations.

Key Responsibilities:
  • Collect and verify provider information for credentialing and enrollment purposes
  • Communicate with HR, Operations, and the Revenue Cycle team to ensure timely starts for new providers
  • Escalate any issues with credentialing and enrollment to the Revenue Cycle Manager
  • Build relationships with providers to ensure compliance with all regulations
  • Complete enrollment and re-enrollments for providers and clinic locations with all contracted payers
  • Monitor and track payer enrollments and re-enrollments using assigned monitoring tools
Requirements:
  • 2-3 years of experience in professional fee revenue cycle, with previous enrollment or medical staff experience a plus
  • Solid working knowledge of enrollment guidelines by payer and credentialing to ensure compliance with state and federal requirements
  • Proficient with Microsoft Office applications
  • Ability to multitask, prioritize workload, and meet deadlines
  • Excellent verbal and written communication skills
  • Detail-oriented and able to work in a fast-paced environment
Benefits:
  • Competitive salaries and benefits
  • Opportunities for growth and development
  • PTO accrual
  • Health, Vision, and Dental Available with HSA & FSA options
  • Employee appreciation and recognition
  • 401K option
  • Limitless male clothing discounts
  • Company paid LTD & employee life insurance
  • Employee discounts on treatments, supplements and products


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