Top 5 Credentialing specialist medical payer Jobs in Cincinnati, Oh

Credentialing Specialist- Medical Payer
HealthPoint Family Care —Florence, KY
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Credentialing Services Specialist
Dean Dorton —Cincinnati, OH
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Profit sharing
- Wellness program
Quick Apply
13d
Therapist (Licensed Behavioral Health Professional)
GRO Community —Cincinnati, OH
- $65 an hour
- Full-time
- Hybrid work
- School experience
- LMFT
- Adults
- Health insurance
- Dental insurance
Quick Apply
8d
MEDICAL DIRECTOR - Cardiovascular Intensive Care
The Christ Hospital Health Network —Cincinnati, OH
- Full-time
- Medicine
- Surgery
- BC/BE

More jobs to discover

Find similar jobs that you might be interested in.

Credentialing Services Specialist
Dean Dorton —Cincinnati, OH
Ensure compliance with all federal, state, and payer-specific credentialing regulations. Dean Dorton’s Healthcare Consulting team partners with healthcare…
Quick Apply
13d
Operating Room Support Specialist
LivaNova —Cincinnati, OH
BS/BA degree or clinical technical/operating room environment experience. You will also be responsible for supporting Operating Room staff in product-related…
$60 an hour

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
$23.85 - $28.02 an hour
Quick Apply
14d
Remote Physician Coding Specialist II
Mount Carmel —Columbus, OH
Attends educational opportunities to enhance knowledge in coding and reimbursement systems and obtains/maintains certification from AHIMA or AAPC to validate…

Show more jobs in cities nearby

I want to receive the latest job alert for credentialing specialist medical payer in cincinnati, oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing specialist medical payer jobs near cincinnati, oh

Credentialing Specialist jobs in Cincinnati, OH

Medical Director jobs in Cincinnati, OH

Credentialing Specialist jobs in Maryland

Credentialing Specialist jobs in Fresno, CA

Credentialing Specialist jobs in Miami, FL

It Specialist jobs in Montgomery, AL

Remote Credentialing jobs in Texas

Credentialing Specialist jobs in Greenville, SC

Bachelors Behavioral Science jobs in Phoenix, AZ

Behavioral Health Professional jobs in Oak Brook, IL

Direct Support Professional jobs in Fresno, CA

Behavioral Health Professional jobs in Canton, OH

Behavioral Health Professional jobs in Bluffton, SC

Behavioral Health Professional jobs in Corpus Christi, TX

Qualified Professional Qp jobs in Durham, NC

Credentialing Specialist jobs in Wisconsin

Credentialing Specialist jobs in Meridian, ID

Credentialing Specialist jobs in Florida

Credentialing Specialist jobs in Canton, OH

Fraud Specialist jobs in Dallas, TX

Credentialing Specialist- Medical Payer

HealthPoint Family Care -
Florence, KY

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
Life insurance

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Medicare
Data verification
File organization

Full Job Description

HealthPoint Family Care is currently hiring to add an additional credentialing specialist to the team.

Retention bonus of $1,500 paid at 18 month of employment- Additional retention bonus's up to $4,000
Two free sets of HealthPoint scrubs
Tuition Reimbursement for up to $1,000 a year.
Nine paid federal holidays
Birthday off paid in addition and not counted towards PTO
Generous Paid Time Off
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:

Accurately tracks, records and collects necessary data from various sources to complete applications, renewals, revalidations and terminations.
Responsible for coordinating the credential processes practitioners and facility in our growing healthcare practices.
Maintains Provider credentialing files, initiates NPDB database inquiries, maintains NPPES and CAQH provider databases, and timely completion of Provider enrollment applications.
Credential providers and facilities with Medicare, Kentucky and Ohio 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.
Maintain Credentialing files (paper and computer)
Coordinates and participates in all phases of credentialing/re-credentialing profile process.
Tracks and logs credentialing status routinely with participating networks.
Review, update, maintain and report fee schedule for various payors within Group assigned.
Aggressively collects, coordinates, reviews and documents performance data, which includes quality and utilization activities, member complaint data for re-credentialing purposes.
Revenue Cycle projects as assigned.

One year of 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 be considered with a training plan.
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.
Training in medical billing or a related field a plus

Quick Apply

Refine Your Search

credentialing specialist medical payer jobs in cincinnati, oh

Credentialing Specialist- Medical Payer

Credentialing Services Specialist

Therapist (Licensed Behavioral Health Professional)

MEDICAL DIRECTOR - Cardiovascular Intensive Care

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing specialist medical payer in cincinnati, oh

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected