What are the responsibilities and job description for the Credentialing Specialist position at MedSR?
Essential Duties and Responsibilities:
· Receive and process all initial credentialing and re-credentialing applications.
· Complete enrollment applications for Medicare, Medicaid, and other programs.
· Communicate with physicians and clients to obtain necessary credentialing documents.
· Ensure all physician credentials are current and legible.
· Manage the collection of data related to provider credentialing, re-credentialing, and contracting. Maintain provider files in the credentialing/contract system as needed.
· Ensure the credentialing process adheres to industry and company standards.
· Maintain accurate and complete records on application status for presentation to management and clients.
· Perform monthly and/or quarterly compliance verifications.
· Demonstrate knowledge of CAQH, PECOS, and NPPES.
· Process approval, denial, or termination letters.
· Maintain a strict level of confidentiality.
· Perform other duties as assigned by the Manager.
Required Knowledge, Skills, and Abilities:
· Knowledge of CAQH, PECOS, NPPES
- High School Diploma or Equivalent
- Knowledge of Excel and Word
- Excellent written and verbal communication skills
- Ability to be flexible, multi-task and prioritize
- Demonstrated ability to plan and organize projects with attention to detail
- Ability to work collaboratively with multiple health professionals using tact, diplomacy, and discipline
- Ability to handle a high volume of providers and locations
- Familiar with credentialing and re-credentialing for multiple states
Education and Experience:
- High school diploma or equivalent preferred
· 2 years of related credentialing experience in a related business sector preferred
Supervisory Responsibilities:
None.
Travel Required:
Minimal.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
Employer’s Rights:
This job description does not list all the duties of the job. You may be asked by your Managers to perform other duties. You will be evaluated in part based upon your performance of the tasks listed in this job description. CareCloud, Inc. and/or its subsidiaries have the right to revise this job description at any time. The job description is not a contract for employment and you or CareCloud, Inc. and/or its subsidiaries may terminate employment at any time, with or without cause and with or without notice.
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to Commute:
- Rutherford, NJ 07070 (Required)
Ability to Relocate:
- Rutherford, NJ 07070: Relocate before starting work (Required)
Work Location: In person
Salary : $23 - $26
