Healthcare Credentialing Professional

23 hours ago

Louisville, Kentucky, United States Dean Dorton Full time
Healthcare Credentialing Specialist

Dean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team.

This role involves performing critical functions for Dean Dorton Healthcare Solutions clients, including physicians, medical practice groups, and other healthcare entities.

Key Responsibilities:

  • Completing physician credentialing applications and revalidations for Medicare, Medicaid, and commercial payers.
  • Tracking status of applications and following up with payers throughout the credentialing process to ensure optimal timely enrollment.
  • Tracking issues related to credentialing, including quick resolution and updates to the client.
  • Initiating contracts with payers, with new physician practice setups.
  • Tracking and maintaining appropriate licensure, certificates, insurance, and DEA certificates for providers, as well as updating information in Intellisoft and CAQH.
  • Reviewing and researching upcoming changes in credentialing requirements.
  • Reporting on provider enrollment, and updating the provider, practice manager, and billing department immediately to ensure quick claim payments.

Requirements:

Dean Dorton is a fast-paced work environment that requires multi-tasking and superior organizational skills. The ideal candidate will have a minimum of two years' experience in credentialing different provider types. In addition, we are looking for someone who:

  • Has experience with credentialing in multiple states and experience using the Intellisoft database.
  • Has experience in EFT setup with various payers.
  • Maintains a high level of confidentiality, following all HIPAA policies and procedures.
  • Maintains a high attention to detail and has excellent record-keeping skills.
  • Works independently, taking initiative on a variety of tasks and projects.

Benefits:

Dean Dorton offers a comprehensive benefits package, including:

  • PTO
  • Health insurance – medical, vision, dental
  • Paid family leave, medical leave, and maternity/paternity leave programs
  • Retirement benefits – 401(K) match and best-in-class automatic profit sharing
  • Telemedicine, mental health resources, and wellness program reimbursement
  • Life insurance and disability insurance

Dean Dorton is an Equal Opportunity Employer. We're committed to growing and empowering an inclusive community within Dean Dorton and our industry. We encourage you to apply for our available positions, even if you don't necessarily check every box on the description.

Check us out online at https://www.deandorton.com/ and read about our recognition for 20 consecutive years as "Best Place to Work" in Kentucky.

Dean Dorton. Innovating Together.

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