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. 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, Sr. 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, 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)
Serenity Home Medical is a locally owned and operated supplier of home medical equipment and supplies. We are seeking candidates for a new position of Medical Biller to join our team oriented staff.
Duties Include but are not limited to:
- Review and analyze medical records to ensure accurate coding and billing
- Submit claims to insurance companies electronically or by mail
- Follow up on unpaid claims and denials, and resubmit as necessary
- Communicate with healthcare providers, insurance companies, and patients regarding billing inquiries or discrepancies
- Maintain patient confidentiality and comply with HIPAA regulations
Qualifications:
- Proven experience as a Medical Biller or in a similar role
- Familiarity with healthcare billing software and electronic medical records (EMR) systems
- Excellent attention to detail and accuracy in billing processes
- Strong communication skills to interact with healthcare providers, insurance companies, and patients
- Ability to work independently and meet deadlines in a fast-paced environment
- Knowledge of insurance guidelines, including Medicare, Medicaid, and private insurance plans
Job Type: Part-time
Pay: $15.00 - $18.00 per hour
Benefits:
Schedule:
Work setting:
Work Location: In person
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