Normann Staffing Hiring for CREDENTIALING SPECIALIST Job at Modena, NY Full Time

Category:
FULL TIME
Status:
TEMP TO PERM
Type of Business
MEDICAL
Job Qualifications:
Schedule and Pay:

• Hours: Monday-Friday, 8AM-4:30PM
• Pay Range: $20.00-$30.00/hr (BOE)
• Temp to Perm
• Location: Kingston, NY

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Job Description:
The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare, Medicaid and commercial payers across various states.
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Responsibilities :

• Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
• Maintain internal provider grid to ensure all information is accurate and logins are available
• Update each provider’s CAQH database file timely according to the schedule published by CMS
• Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
• Complete revalidation requests issued by government payers
• Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
• Complete re-credentialing applications for commercial payers
• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
• Other duties as assigned

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Knowledge, Skills and Abilities:

• Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle
• Excellent computer skills including Outlook, Excel, Word, and Internet use
• Detail oriented with above average organizational skills
• Plans and prioritizes to meet deadlines
• Excellent customer service skills; communicates clearly and effectively

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Benefits:

• Vacation time
• Personal time
• 8 paid holidays
• Employer contributed health plan.

Job Type: Full-time

Pay: $20.00 – $30.00 per hour