Healthcare, Pennsylvania

Credentialing Specialist Scranton, PA

PRIMARY DUTIES:

  • Answer the Administrator’s Phone
  • Complete credentialing applications for all insurance companies
  • Remain accessible to the billing staff to assist with any problems or to answer questions related to credentialing
  • Contact Insurance Companies rep’s as needed
  • Meet with new billing clients to obtain all information needed to start the credentialing process.
  • Keep updated on billing changes and communicate these changes to the billing staff.

PHYSICIAN LIAISON/CONTACT:

  • Maintain & track CME’S for all Physicians
  • Manage all credentialing paperwork/issues for 15 + Physicians
  • Monitor Malpractice coverage and provide Hospitals & Facilities with updated coverage
  • Renew DEA licenses online for Physicians
  • Complete Hospital/Nursing Home Re-Appointment & Medical Staff applications
  • Update CAQH applications online
  • Maintain up to date and accurate Physician files
  • Maintain PECOS

EMPLOYMENT STANDARDS:

  • Experience: 5 years experience in a Medical Office
  • High School Diploma
  • Associate’s Degree
  • Thorough knowledge of medical third party billing
  • Basic Medical knowledge
  • Supervisory skills
  • Thorough knowledge of Medent

Job Location:

  • Scranton, PA

Required education:

  • High school or equivalent

Required experience:

  • Medical Credentialing: 1 year
  • Medent EMR: 1 year
  • Medical Office: 5 years
  • Medical Billing: 1 year

Click To Apply

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