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Physician Contracting/Credentialing Specialist NO BILLERS/CODERS ID - 9990

Job Description

Duties and Responsibilities

Credentialing:

MUST HAVE EXPERIENCE SUBMITTING CREDENTIALING/CONTRACTING APPLICATIONS IN VARIOUS STATES TO VARIOUS INSURANCES, & EXPERIENCE USING PECOS. Must be an organized multitasker

  • Review and process providers' initial credentialing packets and supporting documentation.
  • Follows up with the provider to ensure all information is obtained before onboarding
  • Completes and processes payer enrollment applications for Providers for Medicare and submits required information to our PHO for credentialing for the remaining insurance carriers.
  • Completes timely follow-up on all applications.
  • Maintains provider's profiles and NPIs, CAQH, and internal spreadsheets.
  • Ensure that re-credentialing is complete and timely to prevent any lapse in enrollment.
  • Monitor and maintain current documents (licenses, malpractice insurance).
  • Please keep all provider's information confidential.

 

Qualifications

  • 3+ years of experience in Healthcare Provider credentialing, contracting with all Payers, Medicare, Medicaid, and all commercial plans
  • Must have experience credentialing groups and individual providers,
  • Must have experience with Pecos, CAQH, and NPPES sites

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Company Description
Medical Billing and Credentialing Company
Why Work Here?
This is a remote position that allows you to manage a healthy work-life balance, with a flexible schedule.

Medical Billing and Credentialing Company

Address

Physician 1st Billing

Remote, OR
USA

Industry

Healthcare

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