Address
Form of work
SalaryLocation:
Philadelphia, PA / Virtual
Description:
Established foot & ankle practice seeking an experienced Credentialing Specialist for onboarding and renewal processes. This highly visible position requires a keen attention to detail, excellent communicative service skills and the ability to manage and track multiple workstreams at once. Accuracy is essential. We value our positive work culture and office atmosphere, and offer full benefits and a competitive salary.
Requirements:
- Create and maintain licensing, credentials and insurance records for all providers across network
- Submit applications on behalf of new locations, providers to all payors
- Track outstanding applications & maintain database of insurance requirements for applications (ie lead time, form templates)
- Participate in pre-acquisition planning for upcoming new locations and practices and coordinate with integration team on scheduling TIN transition
- Release information to requesting agencies and public inquiries when required by law
- Help manage internal credentialing processes for new providers and locations
- Monitor license, malpractice, DEA and credential expiration dates and advise staff members of required “renew by” dates
- Support practices & providers in providing documentation for applications for individual credentialing at non-IFAS locations (ie Nursing Facilities, Hospitals, Rehabilitation Centers, Surgical Centers, etc.)
- Monitor CAQH data and deadlines for attestation across network
Qualifications:
- 5+ years experience in healthcare credentialing or revenue cycle related role
- Familiarity with Pennsylvania and New Jersey insurance company application processes
- Ability to meet strict deadlines
- Attention to detail
- Good communication skills
- Knowledgeable in policies, laws and procedures
- Strong computer skills including familiarity with Microsoft Suite
- Willingness to work as a team player
- Good organizational skills
