What are the responsibilities and job description for the Credentialing Specialist position at Camden Treatment Associates LLC?
Camden Treatment Associates is seeking an experienced Medical Billing, Credentialing & Contracting Specialist to join our team. The ideal candidate will have hands-on experience with medical billing, insurance credentialing/recredentialing, provider enrollment, and payer contracting.
Key Responsibilities:
· Manage provider and facility credentialing and recredentialing applications
· Assist with obtaining and maintaining contracts with Medicaid MCOs and commercial insurance companies
· Complete payer enrollment applications and follow up with insurance companies through completion
· Maintain CAQH and other credentialing information
· Review and follow up on claims, denials, eligibility, and reimbursement issues
· Maintain organized records of payer contracts, credentialing deadlines, and application status
· Communicate directly with insurance companies regarding contracting, credentialing, enrollment, and billing issues
Preferred Qualifications: Previous experience in medical billing, credentialing, and insurance contracting is a must. Experience with Medicaid, Managed Care Organizations (MCOs), behavioral health, substance use disorder treatment, or Opioid Treatment Programs (OTPs) is a plus.
We are looking for someone who is organized, detail-oriented, able to work independently, and comfortable communicating directly with insurance companies to resolve issues and move applications and contracts forward.
Pay: $25.69 - $30.93 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $26 - $31