Credentialing Specialist – Per Diem
Location
United States
Posted
86 days ago
Salary
$25 - $30 / hour
Seniority
Senior
Job Description
Credentialing Specialist – Per Diem
BerryDunn — Assurance, Tax and Consulting
• Complete enrollment and/or re-enrollment, revalidation applications for physicians, ancillary providers and facilities or groups with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner • Perform Primary Source Verification (PSV) services including but not limited to verification of licenses, malpractice and work history; perform PSV file audits as requested • Complete, update and maintain Council for Affordable Quality Healthcare (“CAQH”) profiles for providers • Maintain a Credentialing database in accordance with BerryDunn’s policies and procedures for all participating and non-participating providers with payer identification numbers and effective dates • Partner with client liaisons, including billing departments to update the enrollment status of the providers • Contact payers to follow up on submitted applications within BerryDunn’s policies • Respond to various inquiries and requests for information from participating physicians, staff, hospitals, and managed care companies timely and with professionalism • Communicate with providers or their designees to obtain requisite credentialing information to facilitate timely completion and submission of required documents • Update client regularly on process and communicate any delays • Continuously inform Credentialing leadership of the project status and assist in managing expectations related to deliverables and deadlines • Be responsible for timely and accurately accounting of hours (billable and non-billable) in time and attendance software for proper billing of services rendered
Job Requirements
- High school education required, bachelor’s degree preferred
- 3-5 years of relevant healthcare experience is required including specialized skills in Credentialing and/or Medical Billing
- Certified Provider Credentialing Specialist (CPCS), Certified Professional in Medical Staff Service Management (CPMSM), or Certified Provider Enrollment Specialist (CPES) certification a plus
- Ability to work independently, as well as, in a team setting
- Exceptional organization and time management skills to manage priorities and deadlines
- Effective verbal, interpersonal, and written skills
- Strong attention to detail and quality
- Proficiency with Microsoft Office suite (Word, Outlook, Teams) and Adobe; Excel preferred
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
Related Guides
Related Categories
Related Job Pages
More General Jobs
Telehealth Registered Dietitian
Cecelia HealthVirtual care provider on a mission to positively transform the lives of individuals living with chronic conditions
• Conduct intensive nutrition counseling and weight management education via phone, video, chat, text, and email. • Provide medication management and support for comorbidities related to obesity under the supervision of assigned physicians. • Engage in remote patient monitoring for various devices (e.g., scale, BG meter, BP monitor, ketone meter). • Support patients with dosing and titration of anti-obesity medications within established protocols. • Collaborate with team physicians and external providers to ensure comprehensive care. • Quickly establish rapport and therapeutic alliances with a diverse patient population. • Utilize motivational interviewing and other techniques to support behavior change. • Consistently meet program metrics while maintaining high-quality care standards. • Complete all necessary documentation in a timely manner.
Registered Dietitian – Telehealth
Cecelia HealthVirtual care provider on a mission to positively transform the lives of individuals living with chronic conditions
• Conduct intensive nutrition counseling and weight management education via phone, video, chat, text, and email. • Provide medication management and support for comorbidities related to obesity under the supervision of assigned physicians. • Engage in remote patient monitoring for various devices (e.g., scale, BG meter, BP monitor, ketone meter). • Support patients with dosing and titration of anti-obesity medications within established protocols. • Collaborate with team physicians and external providers to ensure comprehensive care. • Quickly establish rapport and therapeutic alliances with a diverse patient population. • Utilize motivational interviewing and other techniques to support behavior change. • Consistently meet program metrics while maintaining high-quality care standards. • Complete all necessary documentation in a timely manner.
Registered Dietitian
Cecelia HealthVirtual care provider on a mission to positively transform the lives of individuals living with chronic conditions
• Conduct intensive nutrition counseling and weight management education via phone, video, chat, text, and email. • Provide medication management and support for comorbidities related to obesity under the supervision of assigned physicians. • Engage in remote patient monitoring for various devices (e.g., scale, BG meter, BP monitor, ketone meter). • Support patients with dosing and titration of anti-obesity medications within established protocols. • Collaborate with team physicians and external providers to ensure comprehensive care. • Quickly establish rapport and therapeutic alliances with a diverse patient population. • Utilize motivational interviewing and other techniques to support behavior change. • Consistently meet program metrics while maintaining high-quality care standards. • Complete all necessary documentation in a timely manner.
Neurology Account Specialist
Shionogi Inc. (U.S.)Our mission is to supply the best possible medicines to protect the health and well-being of the patients we serve
• Meets or exceeds sales objectives for assigned geography through implementation of approved market/selling strategies and solutions • Understands and addresses both business and scientific oriented needs of healthcare professionals by engaging in meaningful dialog to determine underlying patient needs and determine how products could address such needs • Partners with Medical Science Directors, Managers, Patient Access, Regional Business Directors, HUB services and other organizational personnel to develop strategies to ensure a high level of customer satisfaction • Develops and implements a dynamic territory business plan by analyzing the business, competitive landscape and territory market to drive business • Develops, nurtures and maintains professional relationships with targeted KOLs including physicians, medical staff, and key hospital personnel and ALS center staff • Navigates the hospital formulary process and develops and implements strategies to ensure successful product positioning and availability • Anticipates potential business challenges, adjusts priorities as needed, demonstrates flexibility, and develops solutions to address challenges • Maintains an exceptional level of proficiency in selling skills, clinical, market and product knowledge and the business environment of the territory • Collaborates with peers and company personnel to ensure corporate objectives and initiatives are achieved • Effectively plans and organizes schedule to ensure maximum efficiency and use of time to accomplish goals and objectives • Acts as a company ambassador; presents a professional image and represents the company, products and people with integrity and respect • Completes tasks and projects assigned by Regional Business Director • Ensures that all activities are in compliance with applicable regulations and Pharma guidelines.


