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Document ID: A7036-019H
Ad Number: 10426362
Published on: 01/26/2013 Job Type: Regular

Job Schedule:Full-time
Published in: The Herald-Mail

Credentialing Specialist

Classified As seen in The Herald-Mail
Healthcare Credentialing Specialist ABEO is a leading anesthesia billing company, focused on meeting the unique needs of anesthesiologists. We offer complete revenue cycle management, practice management and software solutions to help anesthesiologists with the billing and management of their practice. Our goal is to consistently deliver a high level of personal service with the sophistication required in today's complex healthcare environment. We are currently looking for a credentialing specialist to provide credentialing support to include facility credentialing, payer credentialing, and license/certification renewal. This person will also interact closely with the Client Managers of the practices in meeting credentialing needs. Direct interaction with the providers is anticipated. This person will work with the Credentialing team to meet department goals and will report to the Corporate Credentialing Manager. This position is located in Frederick, MD. Responsibilities Accurately complete credentialing and reappointment applications to be sent to payers and facilities on behalf of providers. Track progress of outstanding applications and report progress to Client Managers/Team Leaders. Work effectively in a team environment. Keep current provider records electronically in Credentialing software, electronic provider folders, and in provider hard copy folders. Assist Client Managers in obtaining needed documentation from providers, such as copies of state licenses, IRS documents, NPI Notification forms, DEA numbers, board certifications, malpractice certificate of insurance, etc. Prepare professional communication to providers, payers, and facilities. Understand how provider credentialing impacts billing, contracts, and EDI. Write professional communication to appropriate audience. Ability to learn new software OneApp, OmniForm and IntelliSoft. Complete tasks and projects by deadline. Skills Investigate solutions to problems and determine best course of action. Self-motivated. Communicate clearly and professionally with team members, providers, payers, facility credentialing representatives, Client Managers, and Team Leaders. Ability to multi task. Proficiency in MS Office. Ability to prioritize and organize. Willingness to learn. Preferred Experience Healthcare background required. 2-4 years of credentialing experience preferred. IntelliSoft experience preferred Email your resume including salary requirements to:

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