Posted: 10/09/242024-08-082024-11-03Employment Type:Temp To PermIndustry:Admin/ClericalJob Number: 15733
Job Description
Position: Medical Credentialing Specialist
Pay: $20.19 - $29.80/hour BOE
Location: Modena, NY
Job Type: Full Time, Temp to Perm
Schedule: Monday - Friday 8am-4:30pm
Job Summary:
We have an in-office job opening for a qualified credentialing specialist. A credentialing specialist is responsible for maintaining active status for a medical provider required by an insurance company. This includes initial and subsequent information across various states.
Candidates Should Have:
Excellent computer skills including Outlook, Excel, Word, and internet use
Be detailed oriented with above average organizational skills
Be able to plan and prioritize to meet deadlines
Have excellent customer service skills and be able to communicate clearly and effectively
Responsibilities:
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
Maintain internal provider grid to ensure all information is accurate and logins are available
Update each provider’s CAQH database file timely according to the schedule published by CMS
Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
Complete revalidation requests issued by government payers
Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
Complete re-credentialing applications for commercial payers
Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
Other duties as assigned
Knowledge, Skills and Abilities:
Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle
Excellent computer skills including Outlook, Excel, Word, and Internet use
Detail oriented with above average organizational skills
Plans and prioritizes to meet deadlines
Excellent customer service skills; communicates clearly and effectively.
This is an “in office” position.
Benefits When Perm: Vacation time, personal time, 8 paid holidays, Employer contributed health plan.
Job Requirements
Attention to detail, Organized, excellent communication skills, ability to prioritize
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About Modena, NY
Ready to take the next step in your career journey? Explore job opportunities in the vibrant area around Modena, New York. This charming region in the Hudson Valley boasts a rich cultural scene, picturesque views of the Catskill Mountains, and a strong sense of community. From the Storm King Art Center to the historic Mohonk Mountain House, there's no shortage of unique attractions to enjoy on your days off. With an array of art galleries, theaters, and outdoor recreation options, Modena is the perfect place to grow both personally and professionally. Discover the opportunities waiting for you in Modena and start your career adventure today!
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