Credentialing Specialist Job at Tryon Medical Partners, Charlotte, NC

MzcrMDRLYkhqTTk5RDFRUmpzSnBBWElIYkE9PQ==
  • Tryon Medical Partners
  • Charlotte, NC

Job Description

Credentialing Specialist

 

Description: The Credentialing Specialist provides financial, administrative, and clerical support to Credentialing areas of Tryon Management Group. This includes quarterly attestations and payer enrollment functions.

(This is a full-time position based out of the MSO in SouthPark, Monday to Friday 8 am to 5 pm).

Responsibilities:
  • Monitors tasks within credentialing platform to mitigate any delays and ensure completion from internal stakeholders.
  • Actively reviews and resolves Enrollment dashboard issues within EMR system.
  • Alerts management to unfavorable patterns/trends.
  • Verify participation of all line of business with a payer.
  • Contact payer(s) on claims when an enrollment issue exists.
  • Acts as a point of contact for assigned department(s) for incoming questions regarding third-party billing requirements because of payer enrollment.
  • Analyzes trends in under/overpayments and payment denials and works collaboratively.
  • Keep provider enrollment tables up to date with effective participation/term dates, taxonomy codes, NPI within EHT platform.
  • Completes all internal On/Offboarding tasks for all clinicians.
  • Updates fee schedule in Practice Management system as needed.
  • Maintains allowable schedules in the Practice Management system, as needed.
  • Other duties as assigned.


Requirements:

Education and Certifications:
  • High school diploma or GED required.
  • High level of proficiency in Microsoft Excel.
  • Ability to work autonomously and as a member of a team, team player with a positive attitude.


Experience:

  • 5+ years in a healthcare related industry
  • All aspects of Payer Credentialing
  • Front office operations
  • Payer follow-up and collections


Physical Requirements:

  • Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
  • Must be able to lift and support weight of 35 pounds .
  • Ability to concentrate on details.
  • Use of computer for long periods of time.

Job Tags

Full time, Monday to Friday,

Similar Jobs

Vetsch Custom Cabinets

Cabinet Maker Job at Vetsch Custom Cabinets

 ...VETSCH CUSTOM CABINETS ROLE: Cabinetmaker with Manufacturing Supervisor Responsibilities Vetsch Custom Cabinets designs, builds, and installs high-end custom cabinets. Vetsch incorporates superior craftsmanship and modern designs and technologies to make your... 

Greenberg-Larraby, Inc. (GLI)

Medical Coding Team Lead/Remote Job at Greenberg-Larraby, Inc. (GLI)

 ...Medical Coding Team Lead Greenberg-Larraby, Inc. (GLI) is seeking an experienced Medical Coding Team Lead to support a well-known medical facility in Temple, TX. This is a full-time, on-site leadership role supporting clinical documentation and coding quality operations... 

Michaels Stores

Framer Job at Michaels Stores

 ...weekends and early mornings Applicants in the U.S. must satisfy federal, state, and local legal requirements of the job. At The Michaels Companies Inc., our purpose is to fuel the joy of creativity and celebration. As the leading destination for creating and... 

Infleqtion

Principal Thermal Engineer Job at Infleqtion

 ...Position Summary Infleqtion isseekinga highly experienced thermal analyst; this roleis responsible forkeeping our sensor head and...  ...prime customer(s), internalmanagement, researchers, systems engineers, aerospace experts, manufacturing partners, suppliers, and external... 

Waymo

Digital Media Lead Job at Waymo

 ...through anything from video content, to social media interactions, to immersive physical...  ...You Will Develop and execute integrated digital media strategies that unify brand and...  ...location or, if the role can be performed remote, the specific salary range for your preferred...