Credentialing & Medical Billing Specialist - Sandwich, United States - Aishling Obstetrics & Gynecology SC/Fox Valley Vein Centers

Aishling Obstetrics & Gynecology SC/Fox Valley Vein Centers

Verified Company

Sandwich, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Benefits:

401(k)
Competitive salary
Employee discounts
Flexible schedule
Paid time off

Aishling Obstetrics & Gynecology is looking for a dynamic and motivated full-time Credentialing Specialist with Medical Billing experience.

In Essential functions of this role include, the credentialing process end-to-end including tracking, file review, issue resolution, and roster auditing.

Position also includes aspects of claim research and insurance payment posting as well as the following:

Coordinates onboarding process for new providers
Compiles and maintains current and accurate data for all providers for all service locations.
Follows all appropriate requirements set by the State of Illinois.
Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
Maintains knowledge of current health plan and agency requirements for credentialing providers
Sets up and maintains provider information in credentialing databases and systems.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies, and other entities.
Audits health plan directories for current and accurate provider information
Maintains confidentiality of provider information.
Provides credentialing and privileging verifications.
Monitors credentialing process and regularly follows up with third party payors.
Relays information to management and billing department.
Builds and maintains professional relationships with third party payors.
Insurance payment posting
Insurance claim followup