What are the responsibilities and job description for the Credentialing Manager position at Branding 2?
Primary Responsibilities/Requirements:
- Credential all licensed providers. Physicians, PA’s, NP’s, PT’s, OT’s
- Work with all necessary hospitals to get privileges for providers
- Renew licenses and DEAs for providers
- Enroll any new locations or any new product lines with payer network
- Re-validate/re-enroll when each provider is due to for each payer network
- Minimum two years AR/Credentialing experience required
- Knowledge of medical billing and coding
- Thorough knowledge of legal and regulatory compliance, including HIPAA
- Ability to communicate well with patients, physicians and staff
- Self-motivated and ability to work independently
- Ability to utilize software applications to process applications
- Assist with other duties as assigned
Must also possess:
- HS/GED required
- Ability to work under pressure and meet deadline
- Outstanding organizational, verbal and writing skills
- Independent and highly motivated
- Initiative and self-discipline
- Proven positive, "teamwork" attitude in work history
Physical Demands:
- Must be able to use arms, hands, and fingers skillfully
- Constant sitting for long periods of time
- Must be agile and able to work efficiently in space limited areas
- Consistently work at a productive pace
Education Requirements:
- High School Diploma
- Bachelor’s Degree or related experience in Physician practice credentialing
- Progressive experience in provider credentialing, medical coding, and/or billing