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HOPCo | Healthcare Outcomes Performance Company
Newtown, PA | Full Time
$42k-53k (estimate)
6 Months Ago
Credentialing Specialist
$42k-53k (estimate)
Full Time 6 Months Ago
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HOPCo | Healthcare Outcomes Performance Company is Hiring a Credentialing Specialist Near Newtown, PA

Benefits:

  • Salary $18-22
  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications:

  • High school diploma/GED or equivalent working knowledge preferred.
  • 3-4 years of related experience
  • Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public
  • Must be capable of establishing good working relationships with both internal and external customers.
  • Some knowledge of insurance billing and hospital credentialing is a plus.

Essential Functions

  • Reviews and completes hospital and payor applications for all health care providers.
  • Completes verification forms/letters for outside facilities.
  • Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.
  • Track and maintain physician licensure(s), certification, and CME credits.
  • Maintain practitioner credentialing files.
  • Maintain practitioner electronic file by keeping all applications/licensure current.
  • Maintains all renewal applications for both hospitals/insurances.
  • Has knowledge of Employee Handbook content along with established policies and procedures.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Assists the Credentialing Supervisor in their job responsibilities/duties when necessary.

Job Summary

JOB TYPE

Full Time

SALARY

$42k-53k (estimate)

POST DATE

11/29/2023

EXPIRATION DATE

06/24/2024

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The job skills required for Credentialing Specialist include Billing, Health Care, Communicates Effectively, 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.

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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.

Butler University
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