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Payer Credentialing Specialist- Belmont, NC

Compleat Kidz - Belmont Clinic

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Payer Credentialing Specialist- Belmont, NC

$43k-54k (estimate)

Full Time 1 Week Ago

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Compleat Kidz - Belmont Clinic is Hiring a Payer Credentialing Specialist- Belmont, NC Near Belmont, NC

Onsite Location(s)

Compleat Kidz - Belmont Clinic

54 Myrtle St , Belmont, NC 28012

Onsite Options

Domestic

Description

Who We Are

We are a fast-growing network of Adult and Pediatric clinics that provide Occupational Therapy, Physical Therapy, Speech and Language Pathology and Behavioral Therapy (ABA) services, and we need a motivated person who can check the following boxes:

___ You think it’s OK to organize pantry items alphabetically

___ Your “attention to detail” ability is letting you know what’s wrong with this sentence.

About the Job

The Payer Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by the company, commercial payers, Medicare and Medicaid, as necessary. They are responsible for all aspects of the credentialing, re-credentialing for all medical providers who provide patient care. They ensure providers are credentialed.

Responsibilities

Maintains a list of providers per service that includes: Psychologists, LPA, Social Workers, BCBA, Occupational Therapists, Physical Therapists, and Speech-Language Pathologists with information related to submission for enrollment to payers.

Ensures that provider list is current for annual insurance coverage and requests insurance broker for Certificate of Insurance for any additional providers within the year.

Assists New Hires in registration or account creation with CAQH and obtaining National Provider Identifier number.

Ensures that CAQH accounts of assigned providers have the correct information

Ensures that all providers submit updated licenses and or liability insurance.

Maintains accurate provider profiles on CAQH, NPPES, and CMS databases.

Requirements

Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle

1 year of medical credentialing would be nice.

Applicants must be authorized to work in the U.S.

Ability to establish and maintain effective working relationships with providers, management, staff, and outside contacts.

Proficient use of Microsoft Office applications (Word, Excel, Access).

Benefits

Full benefits including 401k match

Physical Demands

Typical office stuff. Sitting. standing, walking. Using standard office equipment, looking at computer or mobile device screens. Nothing out of the ordinary.

Disclaimer

This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Compleat KiDZ is an Equal Employment Opportunity Employer that values and encourages diversity.

Job Summary

JOB TYPE

Full Time

SALARY

$43k-54k (estimate)

POST DATE

06/07/2024

EXPIRATION DATE

08/06/2024

Reimbursement Contract Specialist- Belmont, NC

Compleat Kidz - Belmont Clinic

Full Time

$67k-89k (estimate)

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Full Time

$40k-50k (estimate)

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Compleat Kidz - Belmont Clinic

Full Time

$161k-216k (estimate)

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