Enrollment & Billing Representative jobs in Texarkana, AR

DESCRIPTION

The Credentialing Specialist is responsible for maintaining provider profiles for all providers by successfully completing initial and subsequent credentialing packages as required by all entities assigned, commercial payers, Medicare, and Medicaid.

RESPONSIBILITIES

• Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications

• Maintain internal provider grid to ensure all information is accurate and logins are available

• Update each provider’s CAQH database file timely according to the schedule published by CMS

• Complete revalidation requests issued by government payers

• Complete credentialing & re-credentialing applications to add providers to commercial payers, Medicare, and Medicaid

• Complete all credentialing tasks within 72 business hours of receipt of documents received.

• Credential new providers and re-credential current providers with all assigned payers for disclosed agencies.

• Work closely with the Billing Manager and billing staff to identify and resolve any denials or authorization issues related to provider credentialing

• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases

• Other duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle

• Excellent computer skills including Excel, Word, and Internet use

• Detail oriented with above average organizational skills

• Plans and prioritizes to meet deadlines

• Excellent customer service skills; communicates clearly and effectively

EDUCATION/EXPERIENCE REQUIRED

• High School Diploma or GED

• 2 years credentialing experience preferred

• 2 years’ experience in a medical practice business office role required

Job Types: Part-time, Contract, Temporary

Pay: From $18.50 per hour

Expected hours: 15 – 32 per week

Benefits:

• Flexible schedule

Schedule:

• Day shift
• Monday to Friday
• Weekends as needed

Application Question(s):

• What is your required hourly compensation? Please indicate, or application can possibly be rejected without review.

Experience:

• Microsoft Office: 4 years (Preferred)
• Credentialing: 7 years (Required)

Shift availability:

• Day Shift (Required)
• Night Shift (Preferred)

Work Location: Hybrid remote in Bossier City, LA 71111