Payer Credentialing Specialist
Job description
MTSL Group, a local Medical Billing and Practice Management company, is currently seeking a part time provider enrollment specialist. The position is to start at part-time, with the transition to full-time for 4-10s after 6 weeks. The full time position works 4-10's; only Monday through Thursday!!! The position is fully remote and work from home. However must live in the Portland Metro Area.
Essential Functions and Responsibilities:
ā¢ Assist credentialing Manager with various credentialing needs, i.e. checking status on credentialing applications, filling out/submitting applications
ā¢ Provide regular updates to credentialing manager on application status and track all updates on spread sheet on shared drive.
ā¢ Provide excellent customer service to clients, customers and co-workers.
ā¢ Maintain a professional demeanor and presentation in person and over the phone and e-mail.
ā¢ Maintain organizational Skills and good time management
ā¢ Provide meticulous attention to detail
ā¢ Contact insurance panels to verify provider credentialing/contracting status.
ā¢ Provide credentialing applications and other required documentation to insurance panels.
ā¢ Assist Billing Manager with various billing needs, i.e. confirm provider's credentialing/billing effective date with insurances.
ā¢ Maintain client confidentiality with providers personal information.
This position requires close attention to detail while performing job duties from standardized procedures and specific directions. It is essential that the payer credentialing specialist perform their work accurately to avoid timely delays in processing of provider credentialing applications. It is also essential that the employee be disciplined and able to work independently from home and complete their duties in a timely manner.
Position Requirements
To perform this job successfully, an individual must be able to perform each essential skill satisfactorily. The requirements below represent the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ā¢ Interpersonal Skills: Strong interpersonal skills to communicate understand and interact with coworkers, clients, and insurance companies effectively. Ability to initiate conversations to obtain needed information for accurate credentialing.
ā¢ Language skills: Ability to read, write, speak and understand English.
ā¢ Reasoning: Ability to solve practical problems and interpret a variety of instructions in various forms and apply creativity in problem solving and decision making.
ā¢ Computer Skills: Basic knowledge of computer software usage and utilization of company software.
ā¢ Technical skills: Typing, handling multiple phone lines.
Education and/or Experience
At least one year of relevant experience Preferred.
A high school diploma is required. Associates Degree or higher in Medical Administration or Business Administration is preferred.
To apply, please respond to this posting with your resume and cover letter. Applicants must be able to pass a post offer criminal background check.
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MTSL Group, a local Medical Billing and Practice Management company, is currently seeking a part time provider enrollment specialist. The position is to start at part-time, with the transition to full-time for 4-10s after 6 weeks. The full time position works 4-10's; only Monday through Thursday!!! The position is fully remote and work from home. However must live in the Portland Metro Area.
Essential Functions and Responsibilities:
ā¢ Assist credentialing Manager with various credentialing needs, i.e. checking status on credentialing applications, filling out/submitting applications
ā¢ Provide regular updates to credentialing manager on application status and track all updates on spread sheet on shared drive.
ā¢ Provide excellent customer service to clients, customers and co-workers.
ā¢ Maintain a professional demeanor and presentation in person and over the phone and e-mail.
ā¢ Maintain organizational Skills and good time management
ā¢ Provide meticulous attention to detail
ā¢ Contact insurance panels to verify provider credentialing/contracting status.
ā¢ Provide credentialing applications and other required documentation to insurance panels.
ā¢ Assist Billing Manager with various billing needs, i.e. confirm provider's credentialing/billing effective date with insurances.
ā¢ Maintain client confidentiality with providers personal information.
This position requires close attention to detail while performing job duties from standardized procedures and specific directions. It is essential that the payer credentialing specialist perform their work accurately to avoid timely delays in processing of provider credentialing applications. It is also essential that the employee be disciplined and able to work independently from home and complete their duties in a timely manner.
Position Requirements
To perform this job successfully, an individual must be able to perform each essential skill satisfactorily. The requirements below represent the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ā¢ Interpersonal Skills: Strong interpersonal skills to communicate understand and interact with coworkers, clients, and insurance companies effectively. Ability to initiate conversations to obtain needed information for accurate credentialing.
ā¢ Language skills: Ability to read, write, speak and understand English.
ā¢ Reasoning: Ability to solve practical problems and interpret a variety of instructions in various forms and apply creativity in problem solving and decision making.
ā¢ Computer Skills: Basic knowledge of computer software usage and utilization of company software.
ā¢ Technical skills: Typing, handling multiple phone lines.
Education and/or Experience
At least one year of relevant experience Preferred.
A high school diploma is required. Associates Degree or higher in Medical Administration or Business Administration is preferred.
To apply, please respond to this posting with your resume and cover letter. Applicants must be able to pass a post offer criminal background check.
Apply tot his job
Apply To this Job