Insurance Credentialing Specialist

Thompson Health

  • Canandaigua, NY
  • 21 days ago
  • $19.50–$23 Per Hour

Highlights

Main Function: Ensures that all hospital-based providers are credentialed and recertified with applicable payers, working in conjunctions with the 4 Southern Region hospitals, legal and regulatory affairs, and Professional Billing. Demonstrates ability to maintain a collaborative working relationship with all department team members, system departments, medical staff office, payer representatives, and the medical staff.

Numbers & Facts

LocationCanandaigua, NY
Salary$19.50–$23 Per Hour

Description

Schedule: Full time, days

Main Function:

  • Ensures that all hospital-based providers are credentialed and recertified with applicable payers, working in conjunctions with the 4 Southern Region hospitals, legal and regulatory affairs, and Professional Billing. Recognizes and supports The Thompson Way. Lives the CARES values at all times.

Job Specific Competencies:

  • Demonstrates skills in customer service, communication and problem solving.
  • Demonstrates organization and prioritizing assignments.
  • Demonstrates understanding of third-party payer regulations for enrollment and reverification of medical providers.
  • Demonstrates ability to maintain a collaborative working relationship with all department team members, system departments, medical staff office, payer representatives, and the medical staff.
  • Must ensure confidentiality and integrity of all data.
  • Exhibits time management skills, keyboarding skills, and multi-tasking abilities.
  • Makes every effort to satisfy the needs of every customer in a friendly, service-oriented manner.
  • Lives the CARES values at all times.

Qualifications:

  • Energetic individual who demonstrates ability to work both independently as well as with multiple teams of individuals.
  • Individual must be detail oriented and willing to learn.
  • Confidentiality of all information is imperative.

Education and Experience:

  • Associate degree or 3 years related work experience in health care billing required.
  • 2 years of previous medical billing experience, professional billing preferred.
  • Excellent communication and customer relation skills
  • Proficient computer skills including Excel, Power Point, Word, and all web-based payer requirements.
  • Working knowledge of third-party payers

Pay Range: $19.50 - $23.00

Starting Pay: Based on experience

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply

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