CREDENTIALING SPECIALIST - BUSINESS SERVICES

Beebe Healthcare
US - Delaware - Lewes
October 4, 2024

Why Beebe?:

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

Benefits

In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:

Sign-on and Referral Bonuses for select positions
Tuition Assistance up to $5,000
Paid Time Off
Long Term Sick accrual
Employer Contribution Plan
Free Short and Long-Term Disability for Full Time employees
Zero copay for drugs on prescription plan for certain conditions
College Bound 529 Savings Plan
Life Insurance
Beebe Perks via Work Advantage
Employee Assistance Program
Pet Insurance

Overview:

Responsible for ensuring providers are credentialed, appointed and privileged with health plans, hospitals and patient care facilities as needed. Maintain up to date data for each provider in various credentialing databases/systems and ensures timely renewal of all licensure and certification requirements for insurance purposes. Works closely with Provider Onboarding & Scheduling Specialist.

Responsibilities:

Must be current with knowledge of online credentialing databases and systems Must have be extremely organized and detail-oriented in maintaining accurate provider records of all required licensure, professional liability, practice locations and any and all other verifications requested. Maintains current knowledge of accrediting body standards. Maintains confidentiality of provider and Group's information and documentation Familiarity with medical billing and claims payment system requirements as it relates to provider enrollment and the provider credentialing process. Maintains open communication with CBO Manager and Group's contractual payors. Maintains current knowledge of insurance payer base provider requirements and assures compliance with all regulatory requirements. Maintains open communication with medical credentialing staff at Beebe Healthcare

Qualifications:

Minimum 2 years experience in a healthcare office setting. Proficiency in the use of online credentialing databases and systems, i.e. NPI, PECOS, CAQH; Microsoft Office Applications (Word, Excel) and internet resources. Prior experience with medical billing and claims payment system requirements as it relates to provider enrollment. Ability to obtain Certified Provider Credentialing Specialist (CPCS) within two years. Experience with medical provider credentialing process, policies and procedures, including delegated credentialing requirements; familiarity with medical billing and claims payment system requirements as it relates to provider enrollment; demonstrated ability to work independently, with strong written and oral communication skills to effectively correspond with all levels of personnel and physicians/providers. Excellent attention to detail, with high degree of accuracy; ability to manage multiple projects efficiently and accurately. Requires exceptional critical thinking skills, sound judgment. Proficient use of Microsoft Office Applications (Word, Excel), credentialing software programs (NPI, PECOS, CAQH) and internet resources.

Credentials:

Education:

Starting at:
USD $24.14/Hr.

Read the full job description and apply online on the recuiter's web-site

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