Payer Credentialing Specialist
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Job Location:
Quincy, WA - USA
Hourly Salary:
$ 22 - 28
Posted on:
20 hours ago
Vacancies:
1 Vacancy
Job Summary
Nature and Scope
Under general supervision of the Billing Supervisor this full-time position manages the entire lifecycle of payer enrollment credentialing and re-enrollment of healthcare providers and facilities with Commercial and Governmental payers for Plumas District Hospital. Responsible for maintaining provider databases ensuring accurate timely submission of documentation to secure billing privileges and network participation. Maintains and updates facility enrollment list. PFS duties will include resolving claim denials verifying insurance and performing billing related tasks to ensure timely and accurate reimbursement.
Location
We are located at 1065 Bucks Lake Road Quincy CA 95971.
Compensation
Compensation Philosophy:
- We have 6 pay increments on our clinical pay scales to compensate successful candidate for 6 years of relevant experience
Compensation Range:
- $22.52- $28.74/ hour
Job Status / Shift Information
- Full-time benefited
- Remote work option available
Qualifications
Experience:
- Minimum three (3) years experience in Patient Financial Services or payer credentialing.
Knowledge/Skills/Abilities
- Strong understanding of healthcare regulations insurance plans and payer credentialing processes.
- Excellent organizational and time management skills.
- Strong attention to detail and analytical skills.
- Maintain confidentiality and adhere to regulatory guidelines.
- Collaborate with internal teams including provider credentialing and billing to streamline processes.
- Ability to work independently and perform critical work under deadlines effectively with supervisors and other staff.
- Ability to be flexible and function well in a fast-paced online environment.
Responsibilities
- Act as the primary point of contact for providers regarding health plan enrollment and inquiries.
- Stay updated on changes in health plan enrollment regulations and credentialing standards.
- Develops and maintains professional and technical skills to ensure ongoing competence.
- Develops and maintains written instruction for each health plan requirements for provider enrollment.
- Maintains provider roster list for enrollment and re-enrollment purposes.
Benefits / Perks
Options offered to benefit eligible employees:
- Excellent Medical Pharmacy Dental and Vision Plans
- Paid days for continuing education bereavement and jury duty
- Retirement Plans with 3% company contribution
- Voluntary Life Insurance and Long Term Disability
- Considerable Paid Time Off
- And more! PDH Benefitsto review more details on current options available
Perks all employees can enjoy:
- Inclusive and connected work environment
- Competitive Compensation
- Discounted memberships with Flight/American Medical Care Network
- Shift differentials paid for certain work shifts including Holiday pay
Child Care:
- PDH is thrilled to provide our Child Care Center services to all families in our area. Our program is operational from 7:45am to 5:15pm Monday through Friday and is approved for children aged 0 to 5 years. After submitting your application our Child Care Director will get in touch with you about your acceptance into the program. Once approved we will start the enrollment process. PDH employees take priority on our waiting list. For any additional questions please contact our Child Care Center Director at or
Why Plumas District Hospital
Work in a setting with rugged canyons crystal clear lakes grassy meadows trout-filled streams fresh pine forests and brilliant star-filled skies. This is your chance to provide compassionate care with exceptional customer service at Plumas District Hospital. With a diverse population with people from all walks of life PDH team members provide the residents of Quincy and the surrounding area with essential health care services that are vital to this small mountain community. PDH is located in Quincy California which is the largest community in Plumas County and has a population of 5000 residents. Quincy is nestled against the Western slope of the Sierra Nevada mountain range and tucked in at the edge of the lush American Valley. Chico California is 80 miles west and Reno Nevada is 80 miles east of Quincy. Join a medical team that puts community first. Click this link to learn more about PDH providers services and surrounding community today!
Contact Information
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
