Credentialing Specialist

3 weeks ago


Saint Louis County Missouri, United States EmpowerMe Wellness Full time
Overview:
Grow your career At EmpowerMe Wellness, you’ll find opportunities for promotion, continuing education, and great benefits, all while making a real difference in the life of seniors. Our results are in our success stories – come write yours with us. Join our team today

 

Who We Are

EmpowerMe Wellness – is on a mission to improve the lives of seniors and the communities they call home We provide fully integrated on-site therapy, pharmacy services, primary care, and more at senior living communities nationwide. Our experienced team of more than 3,000 clinicians and professionals provide personalized health and wellness solutions for seniors in more than 35 states. To learn more about us, visit (url removed).

 

Responsibilities:
Enter data and attestations into CAQH.

Maintain CAQH spreadsheet, including license and liability expirations to ensure timely renewal.

Enter credentialing data in billing system.

Complete provider applications, rosters and other credentialing requirements as needed.

Maintain documentation required for credentialing and attestation.

Ensure practice addresses are current with health plans, agencies, or other entities.

Routine communication and follow up with clinical staff and commercial carriers.

Other duties or projects as assigned.

Qualifications:
High School diploma or GED plus 2 years professional office experience (professional office experience in healthcare setting is preferred).

Ability to perform repetitive tasks with a high degree of accuracy.

Must exhibit a very high level of thoroughness & detail orientation.

Excellent communication and interpersonal skills required.

Must have the ability to work in a fast-paced environment, remain calm in stressful situations, to be flexible, and to work well with many interruptions.

Knowledge and understanding of HIPAA and CMS guidelines.

Knowledge of and experience with insurance benefit coordination, medical credentialing, and medical billing.

Comfortable working independently with minimal supervision.

What We Offer For Full Time Employees:     

-401 K   

-Full Benefits   

-PTO   

-HSA and FSA   

-Life and Disability Insurance   

-EAP   

-Career Advancement Opportunities and Cross Training Opportunities     

-Recognition Programs   

-FUN and much more   

  

This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.   



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