Credentialing Specialist
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Job Location:
Royal Palm Beach, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the bodys musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons each with a specific area of expertise.
Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray on-site MRI on-site physical therapy and aquatic therapy.
As Center for Bone & Joint Surgery of the Palm Beaches continues to grow we are looking for a Credentialing Specialist. Please see below for the functions and requirements for this position.
ESSENTIAL FUNCTIONS
- Reviews and completes hospital and payor applications for all health care providers.
- Completes verification forms/letters for outside facilities.
- Maintain billing insurance grid provider insurance grid and each individual physicians spreadsheet up to date on current insurance changes.
- Track and maintain physician licensure(s) certification and CME credits.
- Maintain practitioner credentialing files.
- Maintain practitioner electronic file by keeping all applications/licensure current.
- Maintains all renewal applications for both hospitals/insurances.
- Has knowledge of Employee Handbook content along with established policies and procedures.
- Relies on instructions and pre-established guidelines to perform the functions of the job.
- Assists the Credentialing Supervisor in their job responsibilities/duties when necessary.
EDUCATION
- High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE
- 3-4 years of Credentialing experience.
REQUIREMENTS
- Must be able to communicate effectively with physicians providers licensing agencies insurance payors and the public and be capable of establishing good working relationships with both internal and external customers.
- Some knowledge of insurance billing and hospital credentialing a plus.
KNOWLEDGE
- Knowledge of the credentialing process.
- Knowledge of computer systems.
- Knowledge of credentialing paperwork and timelines.
- Knowledge of credentialing timelines and regulations.
SKILLS
- Skill in establishing good working relationships with internal and external customers.
- Skill in organizing daily work assignments for various providers.
- Skill in managing multiple work assignments and set priorities.
ABILITIES
- Ability to establish good working relationships with internal and external customers.
- Ability to communicate effectively with physicians credentialing agencies and staff.
- Ability to be organized and efficient in daily work activities/projects.
ENVIRONMENTAL WORKING CONDITIONS
- Normal office environment.
PHYSICAL/MENTAL DEMANDS
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching required.
- Manual dexterity using a calculator and computer keyboard.
#HOP
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
About Company
The recognized leader in comprehensive musculoskeletal care delivery, practice management and value-based orthopedic care.
