Medical Credentialing Specialist

Company: Tempositions, Inc.
Location: Melville
Posted on: May 12, 2022

Job Description:

Description Our client is an industry leader in providing interventional services to long term care facilities and outpatient facilities through-out the New York Metro Area. They are seeking a Medical Credentialing Specialist to join their highly skilled team whose mission is to provide quality compassionate care to their patients. -Responsibilities:

• Facility credentialing including creating and maintaining relationships with facility staff and maintaining provider credentials with facility.
• Track submitted applications and follow up as needed.
• Ensure current copies of state licenses, malpractice coverage and any other required credentialing documents are up to date.
• Sets up accurate provider information in online credentialing database system
• Knowledge of current health plan and agency requirement for credentialing providers.
• Conduct license verification - for all providers in accordance with license verification policy
• Monitor payer websites for relevant bulletins/policy changes for distribution to billing, authorization and other administrative personnel.
• Establish - effective working relationships with providers, management, and staff Skills:
  • High School Diploma or GED required.
  • Bachelors Degree preferred.
  • Billing experience and -prior credentialing experience preferred.
  • Experience working for a private medical practice and -insurance companies
  • Out of state credentialing experience
  • Verbal and written communication.
  • Attention to detail - -and organizational skills

Keywords: Tempositions, Inc., New Haven , Medical Credentialing Specialist, Healthcare , Melville, Connecticut