Top 2 Credentialing specialist Jobs in Hershey Pa

Credentialing Specialist
ZMark Health —Middletown, PA
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
5d
Billing/Payer Enrollment Specialist
UNION COMMUNITY CARE —Lancaster, PA
- Spanish
- Basic math
- HIPAA

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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
10d
Provider Enrollment & Credentialing Subject Matter Expert (SME)
Brittany Wyche, LLC —Columbus, OH
Review current-state and future-state process designs. Support assessment of intake, validation, credentialing, approval/certification, monitoring, and…
$75 - $110 an hour
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3d

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Credentialing Specialist

ZMark Health -
Middletown, PA

Quick Apply

Job Details

Full-time
5 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Customer communication
Stakeholder engagement
Microsoft Office
High school diploma or GED
Medical credentialing
Clinical confidentiality policies

Full Job Description

Are you a detail-oriented healthcare professional who thrives in a fast-paced environment and enjoys navigating the complexities of insurance enrollment and provider credentialing? We are seeking a highly organized and motivated Credentialing Specialist to join our growing team in Middletown, PA.

In this critical role, you will be responsible for managing the full credentialing and enrollment lifecycle for healthcare providers, ensuring accurate and timely enrollment with Medicare, Medicaid, managed care organizations, and commercial insurance payers. Your work will directly support provider reimbursement, operational efficiency, and exceptional client service.

Please Note: This position is on-site at our office in Middletown, PA.

General Responsibilities:

Complete and submit all enrollments with all applicable Medicare, Medicaid, Managed Care and Private Insurance payers
Maintain all practitioner and related data in our Provider Data Management platform called exydoc
Compile all necessary application information and attachments
Maintain a Master List of all enrolled payers and renewal dates
Work with client reimbursement personnel to ensure all applicable payers are enrolled as well as to resolve any claim denials associated with credentialing
Track and manage applications thru the approval process
Maintain all needed practice details for successful enrollment
Responsible for providing high quality service to all clients as it relates to credentialing
Promote ZMark Health services to existing and prospective clients
Ensure effective communication with both internal and external stakeholders
Interact daily with client team members to ensure accurate transfer of information
Initiate communication with payers on behalf of our clients
Document all interaction with payers
Adhere to all company policies and procedures
Conduct business in a safe, compliant and secure manner as it relates to HIPAA and patient privacy
Other duties as assigned

Position Requirements:

High School Diploma or GED Required
3-5 years of experience in a Billing, Managed Care or Healthcare Environment
Working Knowledge of MS Office
Excellent interpersonal, written and verbal communication skills
Must be able to work with minimal supervision
Utilize effective time management principles, as well as work on multiple tasks simultaneously
Demonstrated respect for confidentiality and compliance standards
Ability to communicate effectively with staff at all levels as well as external stakeholders

If you are a motivated professional with a passion for accuracy, compliance, and client service, we encourage you to apply and become an essential part of our team.

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: Hybrid remote in Middletown, PA 17057

Quick Apply

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credentialing specialist jobs in hershey pa

Credentialing Specialist

Billing/Payer Enrollment Specialist

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