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Provider Credentialing Specialist & Medical Biller

Company: Premier Physical Therapy
Location: Elmhurst
Posted on: February 25, 2021

Job Description:

We are looking for a highly motivated Provider Credentialing Specialist & Medical Biller to join our corporate office. This is a position that is open to growth within the company!This employee will be responsible for auditing all existing contracts and credentialing profiles to ensure complete service coverage. Followed by onboarding any new professionally licensed employees (PTAs, PTs, DCs) and credentialing them with the appropriate insurances.They will be responsible for maintaining all updated contracts, credentialing materials as well as up-to-date records and documentation.The responsibilities of the position include but are not limited to:-Onboard new providers and credential accurately & quickly- Be the point of contact for questions and issues relating to credentialing and contracts. This includes communicating with management when new changes need to be made in our processes, services or billing.- Follow up on any outstanding credentialing issues until complete resolution- Maintain current and organized records and files for credentialing. Including: contracts, applications, reapplications, licenses, Insurance, education, resumes and other necessary information.- Resolves contracting issues as it pertains to credentialing (incorrect or lack of provider or site information issues with health plan)- Answering phones- Sending patient statements- Verifying insurances- Reviewing and submitting electronic claims- Medical records- Posting payments- Resolving denials/appeals- Checking documents for completion- Corresponding with work comp insurances and negotiating settlements with attorneys- Other office duties as assignedEDUCATION & EXPERIENCE- Certification as a Certified Provider Credentialing Specialist (CPCS) or CMSC preferred.- 4+ years working in medical provider credentialing-Experience with PECOS, CAQH, Optum, Multiplan and other credentialing processesThis is a full time position, Monday-Friday 8 AM to 5 PMStarting salary is $15-$20/hour plus medical, dental and vision insurance. We offer a 401k plan and the company will match up to 4% of the employee contribution. Employees also receive one week of paid vacation and 3 paid sick days for the first year of employment.Vacation time increases each year with the company.Looking to hire immediately. Applicant must have reliable transportation. We are looking for a long term employee who is able to work with a team as well as individually/independently. Having problem solving skills and the ability to be resourceful is necessary to succeed in this position.Resume must be submitted in order to be considered.Premier Physical Therapy is an Illinois-Based physical therapy company with 17 locations in Illinois and Indiana. As a smaller company, Premier is able to pay special attention to each and every one of our clients!

Keywords: Premier Physical Therapy, Elmhurst , Provider Credentialing Specialist & Medical Biller, Healthcare , Elmhurst, Illinois

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