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Medical Credentialing Specialist

Company: Tempositions, Inc.
Location: Melville
Posted on: June 22, 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

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