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About Exact Billing Solutions
At Exact Billing Solutions, we pride ourselves on our outstanding commitment to providing efficient, exact and quality medical billing to our customers. We are a team of professionals in the medical billing field with a specialty in the substance abuse and mental health fields of health care services. We have extensive industry knowledge, an understanding of the specific challenges of this market and we stand by our commitment to offer outstanding services to our clients. At Exact Billing, we use up to date software to meticulously track every claim.
Brief description
The Credentialing Specialist is responsible for all aspects of contracting facilities with the insurance companies, credentialing, re-credentialing and applications for contracting. Credentialing specialist ensure that facilities and physicians are following regulations and maintain all records related to insurance contracts and staff credentials. Communication skills are essential, since the role involves coordination between the facilities and the insurance companies in contract negotiation. A person must have good organizational skills to track many contracts at once. The Credentialing Specialist reports to the Director of Billing.
Tasks
Qualifications/Skills
Education, Experience, and Licensing
Competencies
· Integrity — Job requires being honest and ethical.
· Analytical Thinking — Job requires analyzing information and using logic to address work-related issues and problems.
· Attention to Detail — Job requires being careful about detail and thorough in completing work tasks.
· Dependability — Job requires being reliable, responsible, and dependable, and fulfilling obligations.
· Stress Tolerance — Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
Lines of communication
· This position will report directly to the Director of Billing.
Working conditions
· Full-Time – 40 hours a week.
Candidates must meet the company’s hiring criteria to include a pre-employment background investigation and drug test. We are an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
ICBD offers a competitive compensation and benefits package including a base salary with performance-based incentives; medical, dental, vision, short and long-term disability, life insurance, and 401(k).
Team Members excluded from Federal Healthcare Programs.
Exact Billing Solutions operates facilities that receive federal funding and may not employ or contract with an individual or entity that has been excluded from health care programs (for example, Medicare or Medicaid). Accordingly, if a team member or agent has been excluded from or is under investigation and may be excluded, they must notify a member of management immediately.
#LI-DNI
Full Time
$35k-44k (estimate)
05/24/2023
05/08/2024
The job skills required for Credentialing Specialist include Billing, Microsoft Office, Health Care, Life Insurance, Written Communication, Mental Health, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Specialist job description and responsibilities
A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.
03/14/2022: Des Moines, IA
A credentialing specialist can have certificates that will prove useful to their field.
02/01/2022: Newark, NJ
Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
02/21/2022: Evansville, IN
Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.
02/01/2022: Las Cruces, NM
Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
01/18/2022: Pueblo, CO
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Specialist jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
01/25/2022: Kingsport, TN
Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
03/01/2022: Parkersburg, WV
While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.
12/25/2021: Little Rock, AR
Make Use Of Advanced Software For Monitoring.
01/18/2022: New London, CT
Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
01/31/2022: Portsmouth, OH
Step 3: View the best colleges and universities for Credentialing Specialist.