Credentialing Specialist

THIS IS FOR A MEDICAL BILLING COMPANY- APEX BILLING AND CREDENTIALING

Here at Apex Medical Billing and Credentialing our goal is to maximize the Practice/Providers earning potential by eliminating inefficiencies, reducing their expenses and increasing the net revenue of their practice, allowing them to spend more time with patients and less time with paperwork. We are trained, certified healthcare billing professionals who provide real-time, web-based insurance claim processing and comprehensive billing services to the medical industry.

We are looking for a detail-oriented, flexible Credentialing Specialist. This is a full-time position, Monday through Friday between the hours of 9:00a - 5:00p. The position is not remote. The ideal candidate thrives in a fast-paced work environment and is comfortable juggling multiple tasks.

Job Role and Responsibilities:

• Process credentialing activities for all new and established providers, involving detailed review of documents and data.
• Coordinates the processing of applications. Assure all applications are processed completely and in a timely manner.
• Create and maintain detailed reports of credentialing process.
• Identify, analyze, and resolve discrepancies, time delays and all other issues that could adversely impact the ability to effectively credential and onboard providers.
• Tracks responses and follows-up on items not received within established time frames.
• Review applications, prepare verification letters and maintain provider enrollment database.
• Frequently communicate with providers and medical office staff.
• All other related duties as assigned.

Qualifications:

• High School Diploma required. Associate's Degree, preferred.
• At least 1 year of provider credentialing experience preferred, contracting experience preferred.
• Excellent communication skills to ensure development of strong internal and external relationships with all levels of professionals.
• Demonstrated ability to perform tasks with a high degree of quality and accuracy.
• Sense of urgency and desire to achieve top line results.
• Ability to manage multiple tasks while delivering results within expected timelines.
• High level of energy to work in a fast paced environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking.
• Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.

Job Types: Full-time, Part-time

Pay: $13.00 - $15.00 per hour

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Microsoft Office: 1 year (Preferred)
• Microsoft Word: 1 year (Preferred)
• Provider Credentialing: 1 year (Preferred)

Ability to Relocate:

• Dearborn, MI 48124: Relocate before starting work (Required)

Work Location: In person