Insurance Credentialing Specialist

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.

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

See also