Medical Insurance Credentialing Specialist

Prevail Counseling

Medical Insurance Credentialing Specialist

Conroe, TX
Full Time
Paid
  • Responsibilities

    Do you have an eye for detail, strong medical provider credentialing, and insurance contracting skills and experience? The Prevail Counseling Team is looking to bring provider credentialing and contracting in-house by adding a specific position for an experienced provider insurance credentialing and contracting specialist. • W2 Full-Time Position • Health, Vision, Dental Insurance • Aflac • Paid Time Off • 8:45 am to 6:45 pm Mon - Thursday and 8:45 am to 1:45 pm Friday • Pleasure to work with a caring team that works hard to help each other have a healthy work-life balance. Responsibilities: • Medicare, Medicaid, and commercial insurance provider credentialing and contracting for our mental health group practice that aims to grow statewide. Well versed and organized experience in credentialing is required. • Maintain CAQH, NPI, NPPES, CMS • Maintain provider and insurance portals for re-attestation and re-credentialing. • File and organize all provider documents and insurance contracts, fee schedules, and correspondence. • Upkeep of effective dates and re-credentialing dates. • Also, be willing to be cross-trained to learn front desk and possible back office operations. Qualifications: • Must have a high school education or equivalent. • 2 + years of provider insurance credentialing and contracting experience. • Must have savvy Microsoft Office and computer skills. • Highly organized, with high attention to detail, and great time management skills for deadlines. • EHR experience. • High volume calls and phone transfers. • Medical customer service with HIPPA and the mental health population in mind. Compensation: $15 - $20 hourly

    • Medicare, Medicaid, and commercial insurance provider credentialing and contracting for our mental health group practice that aims to grow statewide. Well versed and organized experience in credentialing is required. • Maintain CAQH, NPI, NPPES, CMS • Maintain provider and insurance portals for re-attestation and re-credentialing. • File and organize all provider documents and insurance contracts, fee schedules, and correspondence. • Upkeep of effective dates and re-credentialing dates. • Also, be willing to be cross-trained to learn front desk and possible back office operations.