Credentialing Specialist – Per Diem

GeneralGeneralFull TimeRemoteSeniorTeam 501-1,000Since 1974H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

86 days ago

Salary

$25 - $30 / hour

Seniority

Senior

High School3 yrs expEnglish

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

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