What are the responsibilities and job description for the Credentialing Specialist position at GeBBS Healthcare Solutions?
Description
Position Summary
Responsible for performing all tasks related to the credentialing, filing, updates and follow up for CPa Medical Billing.
Job Type: Full-time
Benefits
Work Location: Remote
Requirements
ESSENTIAL FUNCTIONS & RESPONSBILITIES
Position Summary
Responsible for performing all tasks related to the credentialing, filing, updates and follow up for CPa Medical Billing.
Job Type: Full-time
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: Remote
Requirements
ESSENTIAL FUNCTIONS & RESPONSBILITIES
- Complete credentialing and/or re-credentialing applications for physicians and ancillary providers with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner
- Complete, update and maintain Council for Affordable Quality Healthcare (CAQH) profiles for providers
- Ensure credentialing data needed for enrollment, contracting, and other related purposes is on file.
- Maintain provider credentialing files electronically
- Maintain credentialing software with current information
- Reach out to insurance carriers regarding any outstanding items/applications
- Resolve issues related to provider participation
- Respond to various inquiries from participating physicians, staff, hospitals, and managed care companies timely and with professionalism
- Maintain a strict level of confidentiality for all matters pertaining to provider credentials
- Communicate client/enrollment issues to management at an early stage
- Must be able to work on various projects as assigned by Credentialing Manager
- Other duties as assigned
