Credentialing Specialist Job at ITAC Solutions
ITAC Solutions is partnering with a Birmingham, AL, based company in its search for a Credentialing Specialist. The ideal candidate will have 2-5 years’ medical credentialing experience and a desire to continuously learn and grow in a new role. Apply today!
Pay Rate: $49-52k/yr DOE
Pay Rate: $49-52k/yr DOE
What you’ll be doing (duties of this position):
- Review all documentation with the Company’s Clinical Operations Officer prior to submitting physician’s documents to the Credentialing Committee pertaining to any adverse information during the application process.
- Ensure all proper enrollment paperwork is complete and submitted to the appropriate parties in a timely manner and documented.
- Follow up with insurers until the process is complete.
- Document location ID Numbers as listed.
- Preserve a spreadsheet for all data pertaining to fee schedules at each Company location.
- Maintain provider documentation and update as necessary.
- Provide support regarding physician enrollment to our operations department, finance team, and the clinical operations officer.
- Maintain electronic records of provider’s credentials, CAQH and insurer logins.
- Process all requests to update provider demographic or practice information and forward to the appropriate third parties as necessary.
- Communicate with the clinical operations officer regarding any or all credentialing delays or issues.
- Research state specific credentialing application and import for mapping.
What you’ll need to be considered (requirements):
- Bachelor’s degree from a four-year accredited university or college.
- 2+ years’ experience of medical credentialing.
- Knowledge of medical terminology; knowledge of dental care and/or health care concepts.
- Knowledge of Medicare, Medicaid, and managed care.
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