1 Credentialing Coordinator Job in Clearwater, FL
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ENT Associates is Hiring a Credentialing Coordinator Near Clearwater, FL
- Physician Credentialing (all providers)
- Process initial and re-credentialing provider applications.
- Conducts primary source verification via various state and national sources.
- Responsible for credentialing, linking, and revalidating physicians and the overall ENTA group with commercial and government insurance payers.
- Maintains working knowledge of various provider credentialing and payer credentialing policies and required procedures/forms.
- Data entry of provider demographics and payer credentialing linking information in the credentialing software
- Maintain databases and file documents.
- Answer telephones and take messages or transfer calls.
- Use computer software to create spreadsheets.
- Prepare reports and documents for Leadership team.
- Investigating provider participation with insurance plans when needed.
- Assisting the CBO Director with insurance contracting when appropriate.
- Other duties as assigned.
- Physical demands:
- Average percent of time during regular shift devote to:
- Walking, Squatting, Sitting, Bending, Reaching: 75%
- Standing: 25%
- Average lifting requirements:
- Lifting Requirements: 20-40 lbs.
- Frequency of Lifting: 0-25% of the time
- Additional physical demands:
- Ability to grasp with both hands; pinch with thumb or forefinger; turn with hand/arm; reach for (above shoulder height).
- Ability to type 60 wpm.
- Ability to operate multi-line telephone system, computer keyboard and ten-key adding machine.
- Average percent of time during regular shift devote to:
- Visual, Hearing, and Mental demands: Vision adequate to perform essential functions such as read telephone displays/computer terminals for long periods of time, correctable to 20/20. Hearing is adequate to perform essential functions such as answering the telephone. Mental capacity adequate to perform essential functions such as quickly and accurately entering patient demographics and scanning documents while checking in multiple patients. Tact to deal with unfriendly individuals regarding various situations, and adequately handle stress.
- Working Conditions: This position has an option to work from home after training has been completed. Performance, reliability, and overall fit for the role will be assessed prior to an employee being given permission to work remotely and will continue to be assessed once the employee has gone remote. Required to exhibit a positive attitude and a professional appearance and show detail and accuracy. Required to exhibit quality performance of the essential job functions to help the practice run effectively and efficiently.
- High School education or GED equivalent.
- Minimum of 2 years’ experience in medical office or related business office
- Minimum of 2 years’ experience in medical provider credentialing.
- Previous experience with medical credentialing.
- CAQH website navigation and information submission knowledge.
- Insurance online web portals and application submission.
- Computer literate—with keyboard skills and knowledge of practice management and word processing software
- Solid understanding of scheduling efficiency and patient flow in a medical practice
- Good analytical and problem-solving skills
- Ability to prioritize workflow in a fast-paced environment
- Ability to communicate effectively with patients, physicians, and staff in a courteous manner.
- The ability to attend work on a regular basis
- The ability to adhere to safety rules and other reasonable regulations pertaining to the job
- The ability to refrain from negativity or excessive irritability
- The ability to work in cooperation with other staff, leaders and physicians.
Job Summary
Full Time
Ambulatory Healthcare Services
$38k-48k (estimate)
02/02/2024
04/29/2024
ent-stl.com
CHESTERFIELD, MO
100 - 200
Private
DAVID P KRAJCOVIC MD
$50M - $200M
Ambulatory Healthcare Services
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The job skills required for Credentialing Coordinator include Scheduling, Data Entry, Problem Solving, Communicates Effectively, Leadership, Medical Practice, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing Coordinator positions, which can be used as a reference in future career path planning. As a Credentialing Coordinator, 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 Coordinator. You can explore the career advancement for a Credentialing Coordinator below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Coordinator, 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 Coordinator for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Coordinator job description and responsibilities
A credential coordinator performs a variety of administrative tasks. This includes processing initial credentialing and re-credentialing applications.
01/22/2022: Baltimore, MD
Credential coordinator's common duties may also include screening practitioners' applications and supporting documentation to ascertain their eligibility.
03/07/2022: Florence, AL
The credentialing coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners.
02/07/2022: Helena, MT
Educate the healthcare facility and division regarding the credentialing policies and procedures.
03/19/2022: Wilmington, DE
Create educational material regarding the department's credentialing effort.
04/06/2022: Long Beach, CA
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 Coordinator jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
01/27/2022: Charleston, WV
A credentialing specialist can have certificates that will prove useful to their field.
01/29/2022: Lincoln, NE
Must be proficient with Microsoft Office Word and Excel.
01/23/2022: Bangor, ME
Respond to health plan provider inquiries with utmost respect.
03/01/2022: New Orleans, LA
Ensuring data is backed up.
02/21/2022: Asheville, NC
Step 3: View the best colleges and universities for Credentialing Coordinator.
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