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    Medical Credentialing Specialist - Fairfield, United States - Coda Staffing

    Coda Staffing
    Coda Staffing Fairfield, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    NO REMOTE WORK-Position is on site on Wayne, NJ Mon thru Fri. Working hours are 9am-5:30pm

    Qualifications:

    • Credentialing Experience and process preferred for managed care companies, hospitals and surgical centers
    • Medical practice experience required
    • Ability to organize and multitask efficiently
    • Excellent verbal and written communication skills
    • Ability to professionally adapt to a rapidly changing environment
    • Positive attitude towards continuous training
    • Ability to work independently as well as in a team environment
    • Ability to establish and maintain positive and effective work relationships with coworkers and providers
    • CAQH knowledge is preferred but not required
    • Microsoft Office Experience (Excel, Outlook, Word)
    • Must be able to work and 8-hour shift in office

    Responsibilities:

    • Complete enrollment/credentialing and re-credentialing applications
    • Maintain a detailed log of all pending and completed work
    • Communicate the results of status of the applications to manager, physicians and coworkers
    • Maintenance of physician enrollment and CAQH profiles
    • Documentation within enrollment database
    • Coordinate Signatures with manager for providers
    • Daily call to insurances for credentialing status
    • Research and resolve claim denials due to credentialing issues
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