This position entails communicating directly with the providers in person, via email and/or via phone, as well as hospitals and/or insurance companies. You will be responsible for enrolling and maintaining the participation status of the providers with hospitals and/or insurance companies, as well as verifying demographic information and providing up to date licensures to ensure the most accurate information is on file for the providers.
Responsibilities and Duties:
· Communicate with provider to obtain all documents necessary to credential
· Contact insurances and/or hospitals to initiate the application process
· Complete and submit hospital and/or insurance applications with all necessary signatures and applicable documents
· Communicate with the insurances and/or hospitals to follow up on the status of applications
· Complete and submit Electronic Remittance Advice and Electronic Funds Transfer forms
· Update and distribute Network List monthly
· Transfer letters in notes, scan and file
· Input detailed notes of daily activity in spreadsheet
· Verify, complete & submit provider demographic forms to insurances
· Send out updated licensures upon renewal to insurances and/or hospitals
· Maintain email volume, work in a timely manner
· Answer phone, attend call and/or route as needed
Qualifications:
Skills:
· Microsoft word, Excel, Outlook
Job Type: Full-time
Benefits:
Schedule:
Work Location: In person
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0 Credentialing Specialist jobs found in Glen Flora, TX area