ProMedica
CBO Specialist II - PPG CBO - Full Time - Days - Remote
This job is now closed
Job Description
- Req#: 825550
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Salary up to $55,120
- Opportunity for career advancement and growth within the organization
- Remote work opportunity
- Supportive and collaborative work environment
- Chance to make a positive impact on client satisfaction and member experience
What to Expect (Job Responsibilities):
- Accurate and timely credentialing follow up for providers with hospital privileges, payor/plan credentialing, certifications, and regulations
- Acts as a liaison between providers/office staff and hospitals or payor plans
- Accurately maintains provider information in credentialing software
- Assigns coding for professional services, including diagnosis, modifier, and procedure codes
- Input billing information into the practice management system for payment
What is Required (Qualifications):
- Must have a high school diploma or equivalent
- Must have at least 3 years' experience in Professional/Physician credentialing, billing, collection
- Experience reading hospital/Physician medical records
- Detailed understanding of CPT & ICD-9 (10) coding
- Experience completing hospital and payor credentialing forms
How to Stand Out (Preferred Qualifications):
- Previous experience with daily follow up on post-processing activity
- Detailed understanding of Professional charging processes
#HealthcareServices #Credentialing #Billing #RemoteWork #CareerOpportunity
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ProMedica is a mission-based, not-for-profit integrated healthcare organization serving communities in 30 states.
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