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2 Credentialing specialist Jobs in Conway, AR

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Reach Therapy Services
Conway, AR | Full Time
$40k-50k (estimate)
2 Days Ago
Reach Therapy Services
Conway, AR | Full Time
$40k-50k (estimate)
3 Days Ago
Credentialing specialist
$40k-50k (estimate)
Full Time 2 Days Ago
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Reach Therapy Services is Hiring a Credentialing specialist Near Conway, AR

Benefits :

  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance
  • Training & development

We have immediate openings for a billing and credentialing specialist to join our team at REACH Therapy Services.

Reach Therapy Services has locations in Conway, Searcy, and Hot Springs where we provide pediatric occupational therapy, physical therapy, speech therapy, and ABA services.

We pride ourselves on being a very supportive and collaborative clinic. You’ll find very strong teamwork and communication between our clinic directors, providers, referral coordinators, and billing specialists.

We offer competitive pay rates, benefits, and an enjoyable work environment.

Key responsibilities include :

  • Learn and understand various funding options available for families
  • Educate families and assist with applying for these funding options
  • Understand and complete credentialing process for providers
  • Manage patient account balances
  • Post payments electronically as payments are received using billings software or manually when needed
  • Post adjustments in our billing software per EOBs and transfers balance to other payers as necessary (as EOBs are received)
  • Monitor EOB / notices from funding sources of non-payment / partial payment and resubmit with corrected / requested information
  • Notify appropriate staff of funding problems
  • Stay current on payer updates and recommend billing software updates that are needed due to upcoming changes by funding sources
  • Follow-up on past due claims
  • Research claim as necessary to ensure funds are collected in a timely manner
  • Assist patients with billing questions and / or balance inquiries and provide patient estimates

The ideal candidate will display strong skills in :

  • Time management, organization, and prioritization
  • Attention to detail & accuracy
  • Verbal and written communication skills
  • Teamwork and relationship building
  • Flexibility to work well both independently and as a member of a team
  • Results-oriented, self-motivated
  • Working knowledge of third-party payers such as Medicaid and Medicare
  • Working knowledge of ERAs and EOBs
  • Working knowledge of payer specific guidelines
  • Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification
  • Understanding of CMS billing rules / NCCI, HIPAA and RMH policies and procedures, billing edits and payer requirements for Professional Billing
  • Working knowledge of EMR systems
  • Strong computer and keyboard skills which includes MS Word, Excel, and Outlook
  • Excellent interpersonal and communication skills (both written and oral) when working with patients or co-workers
  • Excellent customer services skills to interact with patients in a positive, cooperative, and courteous manner

Experience :

  • EMR / EHR system (required)
  • Computer use (required)
  • Billing knowledge (required)

Job Type : Full-Time

Schedule :

Monday to Friday, hours flexible

Education :

  • High School Diploma, GED
  • Last updated : 2024-07-01

Job Summary

JOB TYPE

Full Time

SALARY

$40k-50k (estimate)

POST DATE

07/03/2024

EXPIRATION DATE

10/02/2024

Show more

Reach Therapy Services
Full Time
$40k-50k (estimate)
3 Days Ago
Reach Therapy Services
Full Time
$58k-71k (estimate)
2 Months Ago
Reach Therapy Services
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$58k-71k (estimate)
5 Months Ago

The job skills required for Credentialing specialist include Customer Service, Billing, EHR, Written Communication, Communication Skills, HIPAA, 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.

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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.

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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.

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A credentialing specialist can have certificates that will prove useful to their field.

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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

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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.

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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

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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.

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Step 3: View the best colleges and universities for Credentialing Specialist.

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