
Medical Payer Credentialing Specialist
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Overview
Job Description
HealthPoint is currently looking to ads an additional team member to join our credentialing team. This role will be based in our Florence office.
Hours: M-F day shift (hybrid opportunity 2 days a week after 120 days)
- Competitive salary
- Nine paid federal holidays
- Birthday off paid
- Generous Paid Time Off
- Retention bonus paid after 18 months of employment
- Wide array of benefit plans such as health, dental, vision, flexible spending accounts, Safe Harbor 401K Plan, long term disability and group/voluntary life insurance plans.
We are looking to add an additional Credentialing Specialist to our growing organization. While not all inclusive some of the responsibilities of the position would include the following tasks:
Accurately tracks, records and collects necessary data from various sources to complete applications, renewals, revalidations and terminations.
Credential providers and facilities with Medicare, Kentucky, Ohio and Indiana Medicaid and private payers for medical, mental health, women's health, dental and vision services.
Tracks application status through timely follow-up to ensure enrollment.
Responsible for processing of provider payor applications, initial, re-applications and attestations.
Understands Medicare, Medicaid and commercial payor application process and EDI agreements.
HealthPoint Family Care is a nonprofit healthcare organization dedicated to patient wellness. HealthPoint provides adult and pediatric medical, dental, mental health, substance abuse treatment, obstetrics and gynecology and vision services. The organization employs 200 highly qualified providers and support staff who are dedicated to providing care for children, adolescents and adults.
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