What are the responsibilities and job description for the Credentialing Specialist position at Exact Billing Solutions?
Brief Description
Credentialing Specialist—Exact Billing Solutions
Lauderdale Lakes, FL
Growth Opportunity in Healthcare Administration/Billing
If you're an experienced healthcare credentialing professional looking for a unique opportunity with a rapidly growing company, this could be a turning point in your career. Our Credentialing and Contracting Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.
What You'll Do
Education/Experience and Other Requirements
Benefits
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.
Credentialing Specialist—Exact Billing Solutions
Lauderdale Lakes, FL
Growth Opportunity in Healthcare Administration/Billing
If you're an experienced healthcare credentialing professional looking for a unique opportunity with a rapidly growing company, this could be a turning point in your career. Our Credentialing and Contracting Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.
What You'll Do
- Credentialing Process Management:
- Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
- Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
- Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
- Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
- Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
- Database Management:
- Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information.
- Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics.
Education/Experience and Other Requirements
- Several years of experience in healthcare credentialing.
- In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.
- Must maintain clean background/drug screenings and driving record.
- Strong collaboration skills for working with other departments, such as Human Resources, Legal, Admissions, and Compliance.
- Thorough understanding of medical terminology, licensing, and certifications across various specialties.
- Excellent organizational skills with a keen attention to detail.
- Proficiency in using credentialing software and databases.
- Exceptional communication and interpersonal skills.
- Problem-solving abilities and the capacity to work well under pressure.
Benefits
- Three weeks of paid time off in first year (more added with tenure)
- Medical, dental, vision, long-term disability, and life insurance
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Generous 401(k) with employer match up to 6%
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.
