Credentialing & Medical Billing Specialist
| Estimated Pay | $21 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Sandwich, Illinois |
Compare Pay
Estimated Pay We estimate that this job pays $21.39 per hour based on our data.
$16.64
$21.39
$28.71
About this job
Job Description
Job Description
Aishling Obstetrics & Gynecology is looking for a dynamic and motivated full-time Credentialing Specialist with Medical Billing experience. In Essential functions of this role include, the credentialing process end-to-end including tracking, file review, issue resolution, and roster auditing. Position also includes aspects of claim research and insurance payment posting as well as the following:
- Coordinates on-boarding process for new providers
- Compiles and maintains current and accurate data for all providers for all service locations.
- Completes provider payer enrollment applications; monitors applications and follows-up as needed.
- Completes physician credentialing applications and obtains appropriate signatures. Handles re-credentialing as needed.
- Follows all appropriate requirements set by the State of Illinois.
- Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
- Maintains knowledge of current health plan and agency requirements for credentialing providers
- Sets up and maintains provider information in credentialing databases and systems.
- Tracks license and certification expirations for all providers to ensure timely renewals.
- Ensures practice addresses are current with health plans, agencies, and other entities.
- Audits health plan directories for current and accurate provider information
- Maintains confidentiality of provider information.
- Provides credentialing and privileging verifications.
- Monitors credentialing process and regularly follows up with third party payors.
- Relays information to management and billing department.
- Builds and maintains professional relationships with third party payors.
- Insurance payment posting
- Insurance claim follow-up
*Required knowledge of CAQH, NPPES, PECOS, AVAILITY, Impact and other electronic applications
Experience:
Experience:
- Credentialing, preferably in a medical office setting with the above areas of responsibilities.
- Credentialing software experience a plus.
- Microsoft Office: 1 year (Preferred)
- Microsoft Word: 1 year (Preferred)
- Knowledge of EOB interpretation
- Knowledge of CPT, HCPCS, and ICD-10 coding guidelines
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Full-time Jobs Part-time Jobs Gig Jobs Posting ID: 902758199 Posted: 2024-04-28 Job Title: Credentiale Medical Billing
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