Position Summary:

The Credentialing Clerk (CC) works with the Assistant Director of Revenue Integrity to keep all provider credentialing up to date and processes all new provider credentialing for PNS.

Qualifications:

Education:

High school diploma required. Associate degree in business related field preferred. Experience A minimum of one (1) year experience in physician credentialing required. A minimum of one (1) year experience in physician billing is preferred.

Licensure/Certification/Registration None Duties & Responsibilities:

Works with CMC Medical Staff office in addition to PNS Administrative office to ensure physician licenses, malpractice, CAQH and all other credentialing documentation remains current. Keeps Practice Management system up to date regarding provider credentialing so claims are held or released appropriately based on credentialing status with insurances. Is willing and able to perform physician billing related functions when time allows. Maintains confidentiality of all information. Provide exemplary customer service. Work effectively and collaboratively with colleagues, physicians, department heads, and members of third-party insurance carriers required. Effectively utilize strong organizational skills. Consistently display effective verbal and written communication skills. Proficient use of Microsoft Outlook, Word, Excel, Explorer, and PowerPoint. Completes other duties as assigned by department leadership.