Medical Staff Credentialing Specialist jobs in Scranton, PA

Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist may require an associate degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor or manager. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Specialist, Medical and Accounts Receivable
  • The Wright Center for Graduate Medical Education
  • Scranton, PA FULL_TIME
  • Description

      

    POSITION SUMMARY

    The Medical Payment & Accounts Receivable Specialist provides financial, administrative and clerical services to ensure accuracy and efficiency of billing operations. This position performs payment posting, insurance denial posting and AR follow up, insurance submission, patient refund preparation, prepares deposits and other AR tasks.
     

    Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. 

    Requirements

      

    ESSENTIAL JOB DUTIES and FUNCTIONS


    While living and demonstrating our Core Values, the Medical Payment & Accounts Receivable Specialist will:

    • Post all mail and EFT insurance and personal payments to patient’s accounts
    • Post denials to patient accounts and follow up with payer
    • Transfer copay/co-insurance and deductible balances to patient responsibility
    • Reconciliation of daily deposits
    • Perform remote bank deposit for checks received in the mail
    • Knowledge of EOB’s, EFT’s and ERA’s
    • Analyze EOB’s, balance healthcare insurance and patient payments
    • Perform adjustments and credits to medical accounts as needed
    • Follow up on outstanding accounts receivable, focusing on maintaining aged receivables within 90 days of days outstanding. Includes researching aged account reports, outstanding “to-do” list, and processing problematic EOB’s
    • Make all necessary corrections in the billing system. Research and resolve claims rejected by payer
    • Use online Healthcare databases and other resources for verification and claim status
    • Deliver the highest quality medical customer service to healthcare providers and internal providers
    • Assist other members of the team with other projects as needed
    • Research outstanding credit balances and prepare requests for refunds 

      

    REQUIRED QUALIFICATION

    • High school degree or equivalent 
    • 1 - 3 years medical billing/claims experience
    • Knowledge of EOBs, EFTs and ERAs
    • Experience in CPT codes and ICD 10 coding preferred 
    • Experience with electronic medical records preferred
    • FQHC billing and payment posting preferred, but will train the right candidate
    • Medent experience preferred 
    • Knowledge of Microsoft Office software
    • Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
    • Accurate and precise attention to detail
    • Excellent verbal and written communication skills
    • Able to work both independently and as part of a team
  • Just Posted

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Specialist, Collection
  • The Wright Center for Graduate Medical Education
  • Scranton, PA FULL_TIME
  • Description POSITION SUMMARYThis position is responsible for the monitoring, processing, and transmission of all pre-collection, early out and bad debt accounts internally and to outside agency.Requir...
  • Just Posted

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Specialist, Billing
  • The Wright Center for Graduate Medical Education
  • Scranton, PA FULL_TIME
  • DescriptionPOSITION SUMMARYThe Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates th...
  • 8 Days Ago

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Medical Billing Specialist
  • FYZICAL Therapy and Balance Centers
  • Hazleton, PA FULL_TIME
  • This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approa...
  • 1 Day Ago

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Medical Records Specialist
  • Northeastern Eye Institute | Scranton
  • Scranton, PA FULL_TIME
  • Who We Are: Vision Innovation Partners provides expert management and support to the leading providers of comprehensive eye care services in the Mid-Atlantic Region. At Vision Innovation Partners, our...
  • 9 Days Ago

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Specialist, Certified Recovery
  • The Wright Center for Graduate Medical Education
  • Barre, PA FULL_TIME
  • DescriptionPOSITION SUMMARYThe Certified Recovery Specialist provides on-going recovery support/coaching to high-risk patients struggling with substance use disorders. The Certified Recovery Specialis...
  • 18 Days Ago

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0 Medical Staff Credentialing Specialist jobs found in Scranton, PA area

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Internal Revenue Agent (Compliance Automation Specialist - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - (Temp NTE 1 Year, MBE, MBMP) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE)DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (6 Month Roster) - Amended
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

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Respiratory Territory Manager (Central Pennsylvania)
  • Olympus Corporation of the Americas
  • Scranton, PA
  • Working Location: Pennsylvania, Scranton; Pennsylvania, Allentown; Pennsylvania, Harrisburg; Pennsylvania, Lancaster; Pe...
  • 3/26/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/25/2024 12:00:00 AM

Scranton is the sixth-largest city in the Commonwealth of Pennsylvania. It is the county seat and largest city of Lackawanna County in Northeastern Pennsylvania's Wyoming Valley and hosts a federal court building for the United States District Court for the Middle District of Pennsylvania. With a population of 77,291, it is the largest city in the Scranton–Wilkes-Barre–Hazleton, PA Metropolitan Statistical Area, which has a population of about 570,000. The city is conventionally divided into 7 districts: North Scranton, Southside, Westside, East Scranton (Hill Section), Central City, Minooka, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$38,170 to $48,335
Scranton, Pennsylvania area prices
were up 1.5% from a year ago

Medical Staff Credentialing Specialist in Shreveport, LA
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
December 08, 2019
This position will review credentialing/privileging information for accuracy and primary source verify all information in accordance all regulatory agencies and University of Kentucky policies and procedures.
December 06, 2019
Medical Staff Credentialing Specialist in Brownsville, TX
In addition, the Medical Staff Services Facility Specialist provides information and guidance regarding medical staff bylaws, medical staff ruled and regulations, allied health professionals (AHP) policies, Joint Commission for Accreditations of Healthcare Organizations (JCAHO) and Center for Medicare and Medicaid Services (CMS) and other regulatory agencies as they pertain to medical staff and allied health professionals.
December 05, 2019
Medical Staff Credentialing Specialist in Cincinnati, OH
Under minimal supervision coordinates, monitors and maintains the credentialing and re-credentialing process for the Medical Staff and Allied Health Professionals.
February 13, 2020