Medical Payer Credentialing Specialist

HEALTH POINT FAMILY CARE INC • Florence, KY

9d • Hybrid

About The Position

HealthPoint is currently looking to ads an additional team member to join our credentialing team. This role will be based in our Florence office. Hours: M-F day shift (hybrid opportunity 2 days a week after 120 days) Competitive salary Nine paid federal holidays Birthday off paid Generous Paid Time Off Retention bonus paid after 18 months of employment Wide array of benefit plans such as health, dental, vision, flexible spending accounts, Safe Harbor 401K Plan, long term disability and group/voluntary life insurance plans. We are looking to add an additional Credentialing Specialist to our growing organization. While not all inclusive some of the responsibilities of the position would include the following tasks: HealthPoint Family Care is a nonprofit healthcare organization dedicated to patient wellness. HealthPoint provides adult and pediatric medical, dental, mental health, substance abuse treatment, obstetrics and gynecology and vision services. The organization employs 200 highly qualified providers and support staff who are dedicated to providing care for children, adolescents and adults.

Requirements

• MUST have minimum one year experience in direct credentialing including primary source verification and completion of Medicare/Medicaid/commercial payer and hospital privileging applications. Applicants with less than one year experience will not be considered.
• Knowledge of Ohio and Kentucky Medicaid and Medicare credentialing requirements and systems.
• Proven methods for file maintenance and tracking required.
• Must be professional and detail oriented.
• Strong verbal and written communication skills.
• Intermediate level skills required in Microsoft Outlook, Word and Excel.

Nice To Haves

• Training in medical billing or a related field a plus

Responsibilities

• Accurately tracks, records and collects necessary data from various sources to complete applications, renewals, revalidations and terminations.
• Credential providers and facilities with Medicare, Kentucky, Ohio and Indiana Medicaid and private payers for medical, mental health, women's health, dental and vision services.
• Tracks application status through timely follow-up to ensure enrollment.
• Responsible for processing of provider payor applications, initial, re-applications and attestations.
• Understands Medicare, Medicaid and commercial payor application process and EDI agreements.

Benefits

• Competitive salary
• Nine paid federal holidays
• Birthday off paid
• Generous Paid Time Off
• Retention bonus paid after 18 months of employment
• Wide array of benefit plans such as health, dental, vision, flexible spending accounts, Safe Harbor 401K Plan, long term disability and group/voluntary life insurance plans.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees