Medical Staff Credentialing Specialist jobs in Anderson, SC

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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Medical Credentialing and Billing Specialist
  • iTrust Wellness Group
  • Greenville, SC FULL_TIME
  • iTrust Wellness Group is looking for a Credentialing and Billing specialist to work on-site in an outpatient mental health office setting

    An ideal candidate has both a strong desire to learn and a passion for providing excellent patient care in a collaborative, team-focused environment. Join the award-winning team at iTrust Wellness Group, named the "Best Mental Health Provider" in the Upstate for 2023 and recognized among Greenville Business Magazine’s “Top Workplaces” in South Carolina for 2023.

    Benefits of Working With iTrust Wellness Group: 

    We believe that our practice environment, compensation model (including benefits), and location in the Upstate of SC are highly desirable for those seeking new employment. Some examples of our company benefits include: 

    • $1,000 Sign-On Bonus
    • Competitive Pay: $17-$20 per hour, depending on background and experience
    • 2 weeks of PTO
    • Paid Holidays
    • Health, Dental, and Vision Insurance   
    • 401(K) with Company Match   
    • Short Term Disability
    • Long Term Disability
    • Work Schedule: M-Th: 8:00am-5:00pm; F 8:00am-1:00pm        

    What Makes Working at iTrust Wellness Group Different? 

    As a practice, our business model has received positive feedback from our practitioners, referral sources, and our valued clients. We believe that our office prioritizes elements that differentiate us from other outpatient mental health clinics, including the foundational structure of a teaching-based, collaborative environment. 

    Support staff members are both viewed and trained as an extension of the provider. We believe that our non-prescribing professionals in the office are as equally important as our providers to our client outcomes – our staff members are dedicated to providing accommodations and solutions to clients both in-person and at a distance.  

    We are looking for a Credentialing and Billing specialist who will both coordinate with their team members and operate independently to ensure successful client outcomes.  

    What does the Credentialing and Billing Specialist role involve? 

    Our practice is passionate about mental health, and we are excited to grow our administrative support staff team. The Credentialing and Billing Specialist role encompasses a broad array of tasks and goals to prioritize excellent care for all patients of iTrust Wellness. 

    • Completing the credentialing process with insurance companies for healthcare providers
    • Communicating with existing patients through phone calls, texts, and emails
    • Connecting with existing patients to answer billing questions and concerns
    • Ensuring all patient accounts stay up to date and claims are properly processed
    • Providing training and support to the billing team and providers

    What are key characteristics of the Credentialing and Billing Specialist role? 

    • Complete the credentialing process for healthcare providers with insurance companies
    • Maintain accurate records of provider credentials, certifications, and fee schedules
    • Communicate effectively with insurance companies to resolve credentialing issues
    • Monitor and track the status of credentialing applications
    • Collaborate with billing and coding team to ensure accurate reimbursement
    • Maintain accurate records of credentialing activities and documentation
    • Monitor expiration dates and proactively initiate recertification applications
    • Answering phone calls professionally and kindly 
    • Responding to text messages promptly and professionally 
    • Placing billing calls to collect payments and other patient information as applicable
    • Gaining proficiency with the EMR system to improve patient experience 
    • Generating daily billing reports
    • Maintaining proper billing procedures
    • Scanning EOBs into the system
    • Providing training and support to the billing team and providers
    • Handle inquiries and disputes related to billing and payments with RCM services
    • Collaborate with internal teams to address recurring problems and improve processes
    • Collaborate with the Clinical Director to clarify provider procedures that affect billing efficiency
    • Identify any new procedures or services that need to be added to the fee schedule
    • Research and stay updated on changes to CPT codes and billing regulations
    • Providing coding and billing support during audits or compliance reviews
    • Monitor the progress of credentialing applications to facilitate care coordination and ensure effective communication across the entire team
    • Performing administrative duties as applicable
    • Writing emails, letters, and more in a clear and concise manner 
    • Interacting with patients in a positive, compassionate manner 
    • Furthering critical thinking skills
    • Working with support staff and providers as a team 
    • Maintaining company culture and upholding company values 

    Preferred Qualifications:  

    • Experience with or interest in working with the mental health community  
    • Experience with credentialing and empaneling healthcare providers with insurance companies
    • Experience with an EMR system 
    • Experience with Microsoft products, including Word, Excel, and Teams   
    • Prior experience operating within a private practice/outpatient setting 
    • Certifications: Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Outpatient Coder (COC)

    If you are interested in a position that will challenge you and further your career, please apply at your convenience.

    We look forward to talking with you!

    Note: This job description is intended to convey essential duties and responsibilities and is not an exhaustive list of all functions and tasks required. The company reserves the right to modify the duties and responsibilities of the position as necessary. Please submit your resume, to be considered for this position. Current or previous patients of iTrust Wellness Group are ineligible to apply.

  • 26 Days Ago

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Credentialing specialist
  • Patriot Hospice
  • Easley, SC FULL_TIME
  • About us Patriot Hospice is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and compani...
  • 20 Days Ago

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Credentialing Specialist
  • Carolina Nephrology, PA
  • Greenville, SC FULL_TIME
  • Job Overview: We are seeking a detail-oriented and organized Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for ensuring that healthcare professional...
  • 5 Days Ago

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Billing/Credentialing Specialist
  • Patriot Hospice
  • Easley, SC FULL_TIME
  • About usPatriot Hospice is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companie...
  • 1 Month Ago

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Medical Staff
  • Agape Care Group
  • Mountain, SC FULL_TIME
  • As a registered nurse on our team, you'll evaluate patients and create care plans, all while communicating with everyone involved — the patient, the patient's family, and the care team. You'll serve a...
  • 1 Day Ago

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HBH Staff Nurse
  • Abbeville Area Medical Center
  • Abbeville, SC FULL_TIME
  • Job Summary To provide nursing care to the terminally ill Hospice patient as needed. To provide assistance and understanding to the family in the home care situation and in time of bereavement. To wor...
  • 25 Days Ago

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0 Medical Staff Credentialing Specialist jobs found in Anderson, SC area

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Travel Skilled Nursing Facility Occupational Therapist - $1,897 per week
  • GetMed Allied
  • Seneca, SC
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Occupational Therapist for a travel job in Seneca,...
  • 3/28/2024 12:00:00 AM

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Travel Outpatient Physical Therapist - $2,100 per week
  • GetMed Allied
  • Seneca, SC
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Seneca, South Carolina. J...
  • 3/28/2024 12:00:00 AM

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Travel Nuclear Medicine Technologist - $2,602 per week
  • Stability Healthcare
  • Seneca, SC
  • LanceSoft is seeking a travel Nuclear Medicine Technologist for a travel job in Seneca, South Carolina. Job Description ...
  • 3/28/2024 12:00:00 AM

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Travel CT Technologist - $2,370 per week
  • Stability Healthcare
  • Easley, SC
  • Travel Nurses, Inc. is seeking a travel CT Technologist for a travel job in Easley, South Carolina. Job Description & Re...
  • 3/28/2024 12:00:00 AM

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Travel CT Technologist - $2,602 per week
  • Stability Healthcare
  • Easley, SC
  • LanceSoft is seeking a travel CT Technologist for a travel job in Easley, South Carolina. Job Description & Requirements...
  • 3/28/2024 12:00:00 AM

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Travel CT Technologist - $2,303 per week
  • Stability Healthcare
  • Greenville, SC
  • LanceSoft is seeking a travel CT Technologist for a travel job in Greenville, South Carolina. Job Description & Requirem...
  • 3/28/2024 12:00:00 AM

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Travel CT Technologist - $2,602 per week
  • Stability Healthcare
  • Greenville, SC
  • LanceSoft is seeking a travel CT Technologist for a travel job in Greenville, South Carolina. Job Description & Requirem...
  • 3/28/2024 12:00:00 AM

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Occupational Therapist - Travel Contract
  • Jackson Therapy Partners
  • Seneca, SC
  • Pay up to $1897 per week We're seeking a licensed Occupational Therapist for a contract position at a reputable area fac...
  • 3/27/2024 12:00:00 AM

Anderson is a city in and the county seat of Anderson County, South Carolina, United States. The population was 26,686 at the 2010 census, and the city was the center of an urbanized area of 75,702. It is one of the principal cities in the Greenville-Anderson--Mauldin Metropolitan Statistical Area, which had a population of 824,112 at the 2010 census. It is further included in the larger Greenville-Spartanburg-Anderson, South Carolina Combined Statistical Area, with a total population of 1,266,995, at the 2010 census. Anderson is just off Interstate 85 and is 120 miles (190 km) from Atlanta an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$38,551 to $48,818
Anderson, South Carolina 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