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Credentialing Coordinator

Company: Healthpro Heritage
Location: Greenville
Posted on: November 9, 2019

Job Description:

Overview
We have an open position of Credentialing Coordinator for our Greenville corporate office.

The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, rehabilitation centers, surgery centers, commercial payers, Medicare and Medicaid.

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 in systems used--- Update each provider's CAQH database file timely according to the schedule published by CMS--- Assist in the renewal of all provider licenses and ensure it is up to date in the credentialing software(s) that are applicable--- Complete revalidation requests issued and complete re-credentialing applications for commercial and government payers.--- Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid--- Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorizations issues related to provider credentialing--- Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases--- Other duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES--- Knowledge of provider credentialing and its direct impact on the practice's revenue cycle--- Excellent computer skills including 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--- Ability to multi-task, work independently, and as a team player

Qualifications
The ideal candidate will have :

--- High School Diploma or GED--- 2 years multi-state enrollment/credentialing experience required--- 2 years experience in a medical practice or business office role required

Recruiter : Email Address
aburgdorf@healthpro-heritage.com

Keywords: Healthpro Heritage, Greenville , Credentialing Coordinator, Other , Greenville, South Carolina

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