Job Posting for Credentialing Enrollment Specialist at Advanced Billing Consultants
It’s your choice, choose AdvancedHEALTH. AdvancedHEALTH is the largest multi-specialty network in Tennessee. Join our growing team. We promote a fun and friendly work environment. We encourage work/life balance. We have multiple locations throughout middle Tennessee and we offer competitive wages and benefits.
The Credentialing / Enrollment Specialist is responsible for the credentialing for Multi-specialty practices that join AdvancedHEALTH.
Position Responsibilities:
Enrollment of new and current providers and locations
Maintain and update information on providers including State Licenses, DEA, facility privileges, etc.
Manage W-9 requests
Update provider information in Symed Database
Assist billing department with credentialing denials
Reporting of current credentialing status with weekly payer grids
Initial completion of CAQH application and update as needed for re-credentialing
Knowledge of TN insurance payers to credential providers
Advise manager of uncertain credentialing information received and any issues identified during the process in a timely fashion
Prompt processing of all requests to credential
Diligent form completion for clean application when submitted
Perform other tasks as requested by supervisor
Qualifications:
High School or Equivalent
Minimum of 1-3 years’ experience in medical billing preferred
Minimum of 1-3 years’ experience in medical Credentialing / Enrollment preferred
Knowledge of Symed (Credentialing Database) preferred
Knowledge of Payer requirements for submitting applications
Thorough knowledge of CAQH
We Offer:
Medical Insurance, Dental, & Vision
Health Savings Account
Flex Spending for child care
Paid life insurance of $50,000
Paid Long Term Disability Insurance
Voluntary Life Insurance
Voluntary Short Term Disability
Many Aflac Policies: Accident, Hospital, Critical Illness, Identity Theft, Legal Plan
401K – very generous plan… the company contributes even if you do not
Salary.com Estimation for Credentialing Enrollment Specialist in Goodlettsville, TN
$49,301 to $67,906
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