We are a Utah-based medical billing/provider services company with a nationwide presence providing practice management and EHR software, payer credentialing and contracting, and full revenue-cycle management services, including coding, billing, follow-up and denial resolution. Come join our fast-paced, high-energy team as a provider credentialing specialist, with great company benefits and opportunity for growth. The right candidate will be motivated and professional, with a commitment to production of the highest quality and positive contribution to the team. If you thrive on helping others and problem solving in an open, collaborative environment, we have a great position for you. Payer credentialing, medical billing or insurance experience is preferred, but we are willing to train the right candidate. Job Summary Responsible for enrolling and re-credentialing assigned healthcare providers with various insurance plans. Responsible to gather all necessary information and documents, submit credentialing or re-credentialing applications to insurance carriers, follow applications through to approval and provide effective, timely communication to supervisors regarding barriers to approval. Responsibilities • Review and analyze credentialing documents, including education, residency and fellowship training, board certification and eligibility, licensure, professional work history, liability insurance, and malpractice history; • Generate insurance applications or re-credentialing applications for all requested insurance companies; • Obtain missing information from provider as required to complete applications; • Review all applications for accuracy and completeness; • Submit all required insurance applications and documents by mail, fax, email or website; • Follow through with insurance companies to monitor the status of applications and ensure enrollment/re-credentialing; • Communicate with supervisors, clients, and providers on the status of provider applications; • Monitor re-credentialing requirements of providers; • Maintain active credentials and rosters with all required insurance companies for active providers. Position Requirements • High School Diploma or equivalency; prefer Associates degree or 2+ years of post-high school education or related experience. • Computer competency, including a working knowledge of Microsoft Excel, Outlook and Word; • Accuracy and attention to detail; • Ability to prioritize, organize, and manage multiple projects and requests; • Exceptional follow through; • Excellent customer service skills; • Excellent written and verbal communication skills; • Critical thinking and problem solving • Ability to work well with people at all levels of the organization; • Ability to take initiative, ask questions, and work independently; • Adherence to a high level of professional and ethical standards (in accordance with HIPPA standards). Applicants that have passed the initial qualifications will receive an on-line pre-employment screening via email from Hire Select. Applicants must complete this screening to be considered for this position. Must pass a post-offer, pre-employment background check. This employer participates in the E-Verify program. Please review the E-Verify information at the following link: http://www.rminc.com/e-verify_links.html Apply online at: https://hris.rminc.com/Careers/JobDetail.aspx?JobId=39875
