Addison, Texas
Credentialing Specialist Job Opening in Addison, Texas - Job Title: Credentialing Specialist
About Collective RCM:
Collective RCM is a full-service revenue cycle management company established to enable healthcare providers to navigate and succeed in an increasingly complex reimbursement environment.
About the Job:
Collective is seeking a Credentialing Specialist to report to our Addison, TX office location. The position requires the ability to work independently to accomplish goals. Qualified applicants only please apply. Please supply an email address other than indeed when applying.
Job Functions Include:
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains corporate provider contract files.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Processes applications for appointment and reappointment of privileges for hospitals and other facilities.
Tracks license, DEA and professional liability expirations for appointed providers.
Assists in paperwork, review and setup of payer EDI
Maintains appointment files and information in credentialing database.
Audits health plan directories for current and accurate provider information
Maintains confidentiality of provider information.
Provides credentialing and privileging verifications.
Performs other duties as assigned.
Education and Experience:
High school diploma or equivalent.
Associate degree preferred.
: Certified Provider Credentialing Specialist (CPCS) preferred.
Experience: Two years of relevant credentialing experience
Skills:
Knowledge and understanding of the credentialing process.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including, letters, memos and emails.
Excellent attention to detail.
Ability to research and analyze data.
Ability to work independently with minimal supervision.
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
Employee Benefits:
Collective offers employees a comprehensive benefits package to include:
Paid Time Off and Holiday Pay
Health, Dental, Vision, Life benefits
Job Type: Full-time
Salary: $52,000.00 to $60,000.00 /year
Required education:
Associate
Required experience:
Medical Credentialing: 2 years
Required license or certification:
CPCS
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