
Healthcare Credentials Coordinator
1 day ago
Credentialing Specialist
Job Description:This role involves ensuring that all healthcare professionals are appropriately credentialed, which includes maintaining current information on file and within the credentialing database. As a Credentialing Specialist, you will work independently but frequently coordinate with other team members.
Main Responsibilities:- Perform the credentialing process for medical and behavioral providers.
- Follow up on applications regularly.
- Verify CAQH attestations.
- Maintain confidentiality in all communications.
- Communicate effectively both orally and in writing.
- Respond to queries promptly.
- Create insurance portals.
- Stay up-to-date with medical provider credentialing and accreditation principles.
- Proven experience as a Medical Biller or similar role.
- Proficiency in medical billing software and electronic health records systems.
- In-depth knowledge of medical terminology, coding, and insurance billing procedures.
- Understanding of healthcare compliance and privacy regulations.
- Excellent communication skills with patients, insurance companies, and healthcare providers.
- Detail-oriented analytical mindset and ability to work efficiently.
- Minimum 2 years of experience.
- Familiarity with Medicare, Medicaid, IPAs, and Medicare Advantage plans.
- Proficiency in Microsoft Office Suite and relevant software.
- Strong organizational and time management skills.
- Ability to multitask and prioritize tasks.
- Experience in credentialing.
- Verbal and written communication skills.
- Bachelor's degree in business administration or related field.
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