Credentialing Specialist

Healthcare administration is an ideal industry for hard working people who are interested in a complex, rapidly changing environment. abeo is the employer of choice for client focused, results oriented individuals who thrive on challenges and problem solving. abeo is a quality leading, nationwide medical billing company that provides a wide range of services to its clients that include, but are not limited to, billing and A/R management, practice management and billing software. We are currently looking for a Credentialing Specialist, in our Frederick, MD office.

The Credentialing Specialist to provide credentialing support for several medical practices to include facility credentialing, payer credentialing, and license/certification renewal. The Credentialing Specialist will also interact closely with the Client Managers of the practices in meeting credentialing needs. Direct interaction with the providers is anticipated. This position works with the Credentialing team to meet department goals.

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.
• Investigate solutions to problems and determine best course of action.
• Communicate clearly and professionally with team members, providers, payers, facility credentialing representatives, Client Managers, and Team Leaders.
• Ability to multi task.
• Ability to prioritize and organize.
• Willingness to learn.

Qualifications:

• Healthcare background required.
• 2-4 years of credentialing experience preferred.
• Basic use of computer, telephone, internet, copier, fax, and scanner
• Become proficient in use of Medsuite software within 4 weeks
• Maintain proficiency in use of Medsuite software
• Proficiency in MS Office.
• Touch-typing skills, 40 wpm required, 50 wpm preferred
• Basic touch 10 key skills

Job Type: Full-time

Required education:

• High school or equivalent

Required experience:

• credentialing: 2 years
• Medical Credentialing: 1 year

Job Type: Full-time

Required education:

• High school or equivalent

Required experience:

• Medical Credentialing: 1 year