Top 2 Medic management group Jobs in Cleveland Oh

Provider Enrollment/Credentialing Specialist
Medic Management Group LLC —Beachwood, OH
- $19 - $23 an hour
- Full-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
Revenue Cycle Manager (FQHC Experience)
Medic Management Group LLC —Beachwood, OH
- Full-time
- Hybrid work
- Microsoft Outlook
- Customer service
- HIPAA

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Revenue Cycle Manager (FQHC Experience)
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Provider Enrollment/Credentialing Specialist

Medic Management Group LLC
Beachwood, OH

Apply Now

Job Details

Full-time
$19 - $23 an hour

Qualifications

Availity
HIPAA compliance
Microsoft Outlook
Medicare
Community health center experience
Provider enrollment for medical credentialing
HIPAA
High school diploma or GED
Medicaid health insurance
Healthcare privacy protection
Medicaid

Full Job Description

Description:

DESCRIPTION:

This position will be responsible for credentialing new and established health care providers, and maintenance of information to include application completion, follow up, data collection, data entry, and document review. Depending on the skill set and experience of the candidate selected, there may also be the opportunity to perform billing duties.

RESPONSIBILITIES:

Collect, update and maintain necessary provider information and documentation and verify the information where possible.
Establish and maintain data entry in CAQH.
Prepare credentialing applications for all initial applications and reappointments in a timely and complete manner.
Verify provider and group information with insurance companies (addresses, provider rosters, contracted plans, provider numbers, etc).
Coordinate information for enrollment and terminations of all providers.
Maintain good rapport and professional communication with Health Plan Representatives.
Handle enrollment with Medicare, Medicaid, and commercial insurances in multiple states.
Build strong working relationships with medical facilities and provider offices.
Adhere to department policies and procedures including timely delivery of completed work and use of resources.
Responsible for entering, updating, maintaining NPI and any other applicable provider numbers.
Provide concise, timely communication to appropriate leadership regarding potential credentialing issues.
Proactively share knowledge with colleagues.
Perform analysis and appropriate follow-up of each initial application and reappointment.
Work with physicians, professional staff and physicians' office staff to acquire necessary materials and information.

Requirements:

QUALIFICATIONS:

High school diploma or equivalent
Minimum 3 years of credentialing experience
Billing knowledge and experience preferred
Prior experience with FQHC and Behavioral Health necessary.
Current knowledge of provider enrollment processes with Medicare, Medicaid, and commercial insurances
Working knowledge of Availity, PECOS, etc. is required.
Proficiency in MS Office, primarily Word, Outlook, Excel
Excellent interpersonal skills to communicate with medical staff, providers and clients
Detail orientation
Ability to abide by HIPPA standards and requirements
Ability to multi-task
Ability to work as a team player
Ability to handle confidential information in a professional manner
Willingness to take on new tasks and responsibilities
Capable of taking the initiative to accomplish tasks
Strong time management and organization skills
Excellent problem solving and decision-making abilities

PHYSICAL DEMANDS:

Work may require sitting for long periods of time.
Operating a computer, keyboard, telephone, fax, or other such office equipment through a normal business day.
Vision must be correctable to 20/20 for viewing information on computer screen and reading information in a paper format.
Hearing must be in the normal range for telephone contacts.
Will require viewing computer screen and typing on a keyboard for prolonged periods of time.

Apply Now

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medic management group jobs in cleveland oh

Provider Enrollment/Credentialing Specialist

Revenue Cycle Manager (FQHC Experience)

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