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Credentialing Specialist (WFH)
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Job Description
- Req#: 26181
Employer Industry: Home Healthcare
Why consider this job opportunity:
- Generous paid time off and paid holidays
- Opportunity for bonuses and incentive programs
- Work from home flexibility after successful completion of in-office training
- Comprehensive benefits package including medical, dental, and vision insurance
- Employee recognition program and discounts
- Growth opportunities within a national leader in home healthcare
What to Expect (Job Responsibilities):
- Manage the complete credentialing process in accordance with payer policies and procedures
- Analyze monthly trend reports to identify necessary updates for contracts and billing
- Communicate and collaborate with various departments regarding contract changes and updates
- Complete payer credentialing and re-credentialing applications based on specifications
- Maintain databases and documentation for contracts and credentialing processes
What is Required (Qualifications):
- High school diploma or GED equivalent
- Minimum of five years of directly related experience in the medical industry with HCPCS, CPT, and ICD-9 codes
- Knowledge of healthcare contract language and the ability to interpret credentialing requirements
- Ability to identify and resolve potential financial risks
- Proficient in Microsoft applications, including Outlook, Word, and Excel
How to Stand Out (Preferred Qualifications):
- Paralegal certificate
- Bachelor's degree or equivalent combination of education and experience in healthcare or billing
- Lead or supervisory experience
- Familiarity with Innovative Medical Billing System (IMBS)
- Strong analytical and critical thinking skills
#HomeHealthcare #Credentialing #HealthcareCareers #RemoteWork #EmployeeBenefits
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