Responsibilities:
  • Complete initial provider applications and collects required documentation for provider enrollments.
  • Gather and verify providers required information, compiling required documents, researching necessary information and verifying medical licenses and insurance coverage
  • Coordinate processing and sending correct and complete documentation for providers to the appropriate hospitals, licensing boards, and insurance companies in a timely manner
  • Responsible for credentialing facilities with insurance carriers.
  • Admin support for the key members of the team
Requirements:
  • Bachelor’s Degree in any field or equivalent
  • Knowledge of medical provider credentialing and accreditation principles, processes, procedures, regulations, standards, state licensing requirements and documentation.
  • Working knowledge of CAQH, Medicare, Medicaid, Tricare, third party payers and insurance companies.
  • Possess strong knowledge of state, federal and local regulatory bodies and/or guidelines for credentialing.
  • Ability to maintain confidentiality and follow regulatory guidelines.
  • Strong organizational and time management skills.
  • Detail-oriented
  • Those with credentialing, contracting, medical billing, and claims processing experience are encouraged to apply.
Work Hours and Schedule: 8 hours a day, Eastern timezone
Salary range: starts at $7/hr, negotiable
Only qualified candidates will be contacted.
Job Overview
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