Credentialing Specialist Job at The Center for Orthopedic and Research E, Newtown Square, PA

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  • The Center for Orthopedic and Research E
  • Newtown Square, PA

Job Description

Job Description

Job Description

Remote position!!

Benefits :

  • Salary $18-22
  • Competitive Health & Welfare Benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications :

  • Minimum of 2 years of credentialing experience.
  • High school diploma/GED or equivalent working knowledge preferred.
  • Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public
  • Must be capable of establishing good working relationships with both internal and external customers.
  • Some knowledge of insurance billing and hospital credentialing is a plus.

Essential Functions

  • Reviews and completes hospital and payor applications for all health care providers.
  • Completes verification forms/letters for outside facilities.
  • Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.
  • Track and maintain physician licensure(s), certification, and CME credits.
  • Maintain practitioner credentialing files.
  • Maintain practitioner electronic file by keeping all applications/licensure current.
  • Maintains all renewal applications for both hospitals/insurances.
  • Has knowledge of Employee Handbook content along with established policies and procedures.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Assists the Credentialing Supervisor in their job responsibilities/duties when necessary.

Job Tags

Part time,

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