What are the responsibilities and job description for the Billing and Credentialing Specialist position at Lotus Clinical Services?
Job Summary
We are seeking an experienced detail-oriented and organized Credentialing Specialist to join our healthcare team. The ideal candidate will be responsible for managing the credentialing process for healthcare providers and submitting claims to insurance companies for reimbursement. In addition, the candidate will be responsible for ensuring compliance with regulatory standards, and maintaining accurate records. This role is crucial in supporting the overall efficiency of our medical office operations.
Duties
- Conduct thorough background checks and verification of credentials for healthcare providers, including education, training, and work history.
- Maintain up-to-date medical records and ensure all documentation complies with regulatory requirements.
- Gather necessary information to review and ensure complete processing of credentialing applications.
- Process and manage medical billing and coding tasks, ensuring accuracy in ICD-9 coding and DRG assignments.
- Utilize systems effectively to track and manage credentialing processes, including medical collections.
- Communicate with insurance companies and other stakeholders regarding provider status and credentialing updates.
- Stay informed about changes in medical terminology, coding practices, and regulatory guidelines relevant to credentialing.
Qualifications
- 3-5 years of proven experience in a medical office setting or similar role is preferred.
- Strong understanding of medical terminology, medical billing, coding practices, and the credentialing process.
- Experience with EMR systems
- Familiarity with ICD-9 coding and DRG is highly desirable.
- Excellent organizational skills with a keen attention to detail.
- Ability to manage multiple tasks efficiently while maintaining accuracy.
- Strong communication skills to interact effectively with healthcare providers and insurance representatives.
- Proficient in using computer systems and software related to medical records management.
Join our team as a Credentialing Specialist where your expertise will contribute significantly to the quality of care we provide. We look forward to your application!
Job Types: Part-time, Contract
Pay: $17.00 - $20.00 per hour
Expected hours: 24 per week
Schedule:
- 8 hour shift
Ability to Commute:
- Virginia Beach, VA 23462 (Required)
Ability to Relocate:
- Virginia Beach, VA 23462: Relocate before starting work (Required)
Work Location: Hybrid remote in Virginia Beach, VA 23462
Salary : $17 - $20