5 Credentialing Specialist Jobs in Logan, UT
Northland Pioneer College is Hiring a Credentialing Specialist Near Logan, UT
The Credentialing Specialist is an important part of the Oracle BCC team.The Credentialing Specialist is responsible for maintaining active status for all providers by completing initial and subsequent credentialing as required by commercial payers, Medicare, and Medicaid.
Oracle BCC operates within the Aegis family of companies across the healthcare industry operating in 3 states. Additionally, Oracle BCC contracts services to companies across the United States and is continuing to grow. There is an abundance of opportunities for professional development and growth.Benefits
- Comprehensive Medical Plan
- Dental Plan
- Vision Plan
- Wellness Program
- 401 (k) Retirement Savings Plan
- Life, Accident, & Disability Insurance
- Paid Sick Leave
- Paid Holidays
- Aegis Experience Rewards Program
- Thrive on establishing high level standards
- Committed to professionalism while performing job duties and responsibilities
- Positive attitude
- Team player
- Proactive problem solver
- Honesty and integrity
- Maintain individual provider files through OneDrive to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications
- Maintain internal provider spreadsheets for each agency to ensure all information is accurate and logins are available
- Update each provider's CAQH database file timely according to the schedule published by CMS
- Complete revalidation requests issued by government payers
- Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
- Complete re-credentialing applications for payers
- Work closely with the billing staff to identify and resolve any denials or authorization issues related to provider credentialing
- Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
- Other duties as assigned
- Minimum of 2 years experience in credenitaling including commercial, Medicaid and Medicare
- Skill in computer applications, Windows 10, Office 365, Excel, Word, Outlook
- Knowledge of provider credentialing and its direct impact on the practice's revenue cycle
- Detail oriented with above average organizational skills
- Plans and prioritizes to meet deadlines
- Excellent customer service skills; communicates clearly and effectively Ability to learn new software quickly
- Experience with electronic health records
- Requires excellent keyboarding skills
Job Summary
Full Time
$41k-51k (estimate)
06/03/2024
07/04/2024
npc.edu
MANASSAS PARK, VA
200 - 500
1974
NICOLASA PORTILLO
$10M - $50M
Related Companies
About Northland Pioneer College
Northland Pioneer College is a two year community college that serves over 6,500 students annually in both Navajo and Apache counties, an area of 21,158 square miles, in northeastern Arizona. The Navajo, Hopi and White Mountain Apache Indian Reservations occupy more than sixty percent of the total land in the district service area, and also account for sixty percent of the population. Handsome campuses are located in four of the largest Navajo County communities: Holbrook, Show Low, Snowflake/Taylor, and Winslow. Five convenient centers are located in Hopi, Kayenta, Springerville/Eagar, St. Jo...hns, and Whiteriver. NPC offers both 2-year technical degrees and transfer degrees. Areas of study include Welding, Nursing, Cosmetology, Business, Computers, elementary education, heavy equipment, art and much more.
More
Show less
The job skills required for Credentialing Specialist include Customer Service, Billing, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Specialist job description and responsibilities
A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.
03/14/2022: Des Moines, IA
A credentialing specialist can have certificates that will prove useful to their field.
02/01/2022: Newark, NJ
Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
02/21/2022: Evansville, IN
Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.
02/01/2022: Las Cruces, NM
Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
01/18/2022: Pueblo, CO
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Specialist jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
01/25/2022: Kingsport, TN
Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
03/01/2022: Parkersburg, WV
While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.
12/25/2021: Little Rock, AR
Make Use Of Advanced Software For Monitoring.
01/18/2022: New London, CT
Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
01/31/2022: Portsmouth, OH
Step 3: View the best colleges and universities for Credentialing Specialist.
Similar Jobs
Popular Articles
