Pro Global Technologies is looking to hire for our healthcare organization is seeking an experienced Credentialing and Medical Biller to work for us.
The ideal candidate will have a strong background in medical billing and credentialing.
Experience with medical and professional credentialing processes, policies and procedures, including delegated credentialing requirements.
Ensure to verify that the credentials of health care professionals are in compliance with state and federal standards.
Demonstrated understanding of healthcare billing and commercial insurances.
The candidate will be responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid.
Credential new providers and re-credential current providers with hospitals at which they hold staff privileges.
Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
Knowledge of medical terminology is preferred.
Excellent computer skills including Excel, Word, and Internet use
Detail oriented with above average organizational skills
Plans and prioritizes to meet deadlines
Excellent customer service skills; communicates clearly and effectively
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