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Credentialing Coordinator

MBMS LLC

Wyomissing, PA Job Details 20 hours ago Qualifications Certified Professional Medical Services Manager Vendor contracts Confidential information handling Client onboarding Data analysis reporting Serving clients Provider database maintenance for medical credentialing Spreadsheets Provider enrollment for medical credentialing Filing Certified Provider Credentialing Specialist Research Mid-level High school diploma or GED Research report preparation Health insurance knowledge Issue tracking Medical billing Contracts Healthcare provider information Contract management support tasks Training Full Job Description MBMS is seeking a self-motivated, organized, Credentialing Coordinator to be responsible for coordinating, monitoring and maintaining the payer enrollment and re-credentialing/revalidation process for our physician groups.

Duties and Responsibilities:

Maintains confidentiality of provider information Assists in department training and client onboarding for MBMS Completes provider payer enrollment and re-credentialing/revalidation applications. Monitors provider/organization payer enrollment applications and follows-up as required. Maintains primary source verification of all providers current Medical Licenses, DEA's, and board certifications. Maintains copies of Physician Group current licenses, ACR Certification and all required documentation for enrollment purposes. Maintains copies of the providers current malpractice insurance and all educational documentation. Maintains provider contract files by requesting contracts and working with clients to ensure they agree to all terms and conditions. Maintains Tickets in the Credentialing Department Ticketing System. Collaborate with internal departments, such as CS (Client Service) to ensure seamless integration and coordination of provider enrollment activities and billing. Maintaining credential stream software with provider demographics and all assigned physician groups. Processing Enrollments and utilizing workflows via Credential Stream for provider enrollment. High School diploma or equivalent CPMSM or Certified Provider Credential Specialist certificate preferred or minimum two years' experience. Above average knowledge of basic medical billing and insurance carriers Demonstrated written and oral communications skills Proficient with Microsoft Excel Ability to analyze, interpret and draw inferences from research findings and prepare reports, documentation generation. Ability to manage confidential information