Independent Medical Management Services -Canton, OH
Title: Credentialing Specialists
Location: Canton, OH
Type: Full time
Reports to: Business Manager
We are a rapidly-growing company that currently serves numerous medical practices across the Akron-Canton area. We provide contracting, credentialing, coding, billing, accounting and management services for medical group practices. The company uses a customer-focused approach to all services provided.
The Credentialing Specialists will work Monday through Friday, from 8:00am to 5:00pm. This is an exciting opportunity to join a growing company. This position will work directly with various managers and will be responsible for organizing, maintaining and verifying all aspects of the credentialing process for the multi group practice.
RESPONSIBILITIES – ESSENTIAL DUTIES
Maintain deadlines on deliverables and communicate on an ongoing basis with Business Manager and internal clients – about contractual issues.
- New Providers with multiple Insurance Carriers and hospitals
- Revalidations with multiple Insurance Carriers and hospitals
Ensure that contracts and proposals are properly entered into organizational databases and securely maintained.
Prepare reports, contracts, specifications, correspondence
Answer emails as needed, maintain contact lists, and set as the point of contact for internal and external clients for credentialing matters.
Interact professionally with various levels of employees and outside representatives with effective oral and in written communication.
Coordinate with human resources and qualified employees to obtain new and updated documentation required for credentialing and re-credentialing.
Document and maintain procedures and processes to ensure timely and efficient credentialing/re-credentialing.
Enter data accurately into provider applications and attach appropriate documentation to applications as required and maintain information databases for qualified providers/consultants.
Submit completed credentialing applications for providers/consultants and track length of time for credentialing and recredentialing processes.
Maintain rosters for each location that will include providers, consultants, direct care and other staff.
Responsible for managing multiple credentialing projects and requests to meet goals and deadlines.
Working with Microsoft Excel, Word and OneNote
Working with various software applications
Maintain a high level of organization in both paper and computer files
Credentialing experience especially in CAQH, PECOS
Excellent verbal and written communication skills, including ability to compile, interpret and utilize information and to communicate effectively with people of all demographics and education levels.
Attention to detail and organized
Ability to work with multiple projects, deadlines and communicate the process. Must be able to prioritize workloads.
Ability to maintain confidentiality
Stable work history
Consistent attendance and punctual
Professional personal presentation
Proficient in Microsoft Office with a concentration in Excel and Word
Well organized and have excellent attention to detail and strong follow up skills
Ability to multi-task
Self Motivated and trustworthy
Data entry experience helpful
Ability to solve problems and reason deduction
Willingness to learn, hardworking, positive can do attitude
Must be able to be bonded
Must pass a drug test and background check before hire
1 or more years of contracting/credentialing experience
Bachelor’s degree preferable
Sit at computer desk for up to eight hours
View computer screen for up to eight hours
Type, listen for up to eight hours
Some standing, walking, reaching, bending and lifting objects up to 50 pounds may be required.
Excellent compensation package commiserate with experience.