Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Blue Ridge Health is currently seeking a Dental Enrollment and Contracting Specialist to be part of our Credentialing Team.
The Dental Enrollment, Contracting Specialist is responsible for the timely credentialing enrollment and renewal of providers with insurance companies, research for contracts and process for contracting to identify areas for the Practice Operations Manager that are needed for contracting. Also, would be crossed trained with the billing system Dentrix.
High School Diploma or equivalent.
2 years insurance experience with payors, which includes PECOS, CAQH, NPPES, NC Tracks preferred.
Experience with medical billing, dental billing a plus
Familiarity with utilizing Microsoft office products (i.e. word, excel)
Familiarity with utilizing multi-line phone systems, copier, scanner, fax and other office equipment.
At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.
COVID-19 Vaccine Requirement: At Blue Ridge Health, the health and safety of our employees, clients and patients is our top priority. That’s why all offers of employment are contingent on verifying that candidates are fully vaccinated against COVID-19, in accordance with federal mandates. Individuals may submit a request for exemption from the vaccine requirement for medical reasons or sincerely held religious beliefs.
At Blue Ridge Health, we provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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