Salary Job Openings

Credentialing Specialist Clerk-PRN

Tenet Healthcare
WORCESTER, MA Full Time
POSTED ON 2/13/2020 CLOSED ON 4/13/2020

Job Posting for Credentialing Specialist Clerk-PRN at Tenet Healthcare

Worcester Surgery center is a multi-specialty ASC committed to patient excellence. We are seeking a credentialing specialist clerk.

Credentialing specialists work for healthcare organizations and ensure that physicians and healthcare facilities are in compliance with relevant regulations. They may also keep records related to insurance contracts and staff credentials. They often must keep in contact with staff and insurance companies to insure that they have all the necessary documents and inform them of any changes in contracts and policies

Responsibilities:

  • Commercial Insurance Provider Enrollment and Credentialing (ie. Aetna, Anthem, BCBS, CIGNA, TriCare, Humana, UnitedHealthcare, Many More!)
  • Medicare and Medicaid Provider Enrollment and Credentialing
  • Medicare and Medicaid Revalidation
  • PECOS
  • CAQH Registration
  • NPI Registration (Type I and Type II)
  • Reimbursement Issues
  • Managed Care Contracting Issues
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Salary.com Estimation for Credentialing Specialist Clerk-PRN in WORCESTER, MA
$230,601 to $307,670
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