Provider Credentialing Specialist Position Available In Broward, Florida
Tallo's Job Summary: Provider Credentialing Specialist at Exact Billing Solutions in Lauderdale Lakes, FL offers a full-time position with a salary ranging from $25 to $27 an hour. The role requires mid-level database skills, organizational abilities, medical terminology knowledge, and 2 years of experience in healthcare credentialing. Benefits include disability insurance, health, dental, vision, and life insurance, paid time off, and a 401(k) with a 6% match.
Job Description
Provider Credentialing Specialist Exact Billing Solutions – 2.3 Lauderdale Lakes, FL Job Details Full-time $25 – $27 an hour 1 day ago Benefits Disability insurance Health insurance Dental insurance Paid time off 401(k) 6% Match Vision insurance 401(k) matching Life insurance Qualifications Mid-level Databases Organizational skills Medical terminology 2 years Communication skills Full Job Description Provider Credentialing Specialist—Exact Billing Solutions Lauderdale Lakes, FL Growth Opportunity in Healthcare Administration/Billing If you’re an experienced healthcare credentialing professional looking for a unique opportunity with a rapidly growing company, this could be a turning point in your career. Our Credentialing and Contracting Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements.
What You’ll Do Provider Credentialing Specialist Duties and Responsibilities:
Oversee the end-to-end credentialing process for Substance Abuse for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel. Adherence to established protocols for timely credentialing of providers. Knowledge of various payer websites, ability to research, review and evaluate credentialing applications. Attention to detail in entering provider information on applications prefilling insurance applications, tracking progress, and other relevant information. Manage and maintain licenses, certifications, references, and other pertinent documentation as required for credentialing purposes. Stay current with industry regulations, standards, and best practices related to credentialing and privileging. Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies’ requirements. Experience and knowledge using credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications. Meeting expected metrics of processes applications within 24/48 hours per provider Respond promptly to all questions, received via phone or email, regarding any license and or/privilege. Filling and scanning documents, email correspondence
Database Management:
Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information. Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics. Educational and Skill Requirements 2 to 3 years minimum experience in healthcare credentialing In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards. Strong collaboration skills for working with other departments, such as Human Resources, Legal, Admissions, and Compliance. Possesses strong communication skills and attention to detail Strong knowledge of auditing, billing and insurance procedures. Thorough understanding of medical terminology, licensing, and certifications across various specialties. Outstanding organizational skills with keen attention to detail. Proficiency in using credentialing software and databases. Exceptional communication and interpersonal skills. Problem-solving abilities and the capacity to work well under pressure. Team player who works well with others to achieve goals. Technology and Equipment Used Computer/Laptop Fax/Copy/Scanner Machine Telephone System Calculator Full Benefits, Including 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays). Medical, dental, vision, long-term disability, and life insurance. Generous 401(k) with up to 6% employer match. About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.
