Offer summary

Qualifications:

4-year college degree required., Two years of experience in US-based medical billing or medical practice related to credentialing and authorizations., Detail-oriented with strong organizational skills and excellent communication abilities., Proficient in Microsoft Office programs and internet navigation..

Key responsabilities:

Maintain up-to-date provider information for credentialing as per state and government regulations.

Complete credentialing and re-credentialing applications for providers with various payers.

Collaborate with other teams to resolve credentialing-related claims issues.

Attend daily and weekly meetings, completing assigned tasks for provider enrollment.

Job description

This is a remote position.

Job Highlights:

Contract type: Independent Contractor
Night Shift Schedule: Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

Will assist the provider enrollment team members to meet their responsibilities to maintain active status to all providers as required by insurance carriers, network management, and state Medicaid regulations.

Responsibilities:

Maintain individual providers with up-to-date information needed to complete credentialing by the state and govt rules.
Maintain the provider information in various systems utilized by different practice groups.
Ensure appropriate log-ins are available.
Update each provider's database in a timely fashion and according to the carrier’s schedule.
Complete revalidation requests by payers and carriers.
Stay on top of near expiring licensing certificates and/or liability insurance information.
Complete credentialing applications for providers with commercial payers and Medicaid.
Complete re-credentialing for commercial payers and Medicaid.
Work closely with the other teams in MBH to identify and resolve denials and authorizations in claims related to credentialing.
Follow up on status and open escalation tickets for submitted or denied credentialing applications.
Prepare email communication with relevant information to be sent to practice groups by the provider enrollment rep.
Attend daily meetings with provider enrollment member.
Attend weekly team meetings, completing the to-do’s assigned to provider enrollment member.
Other duties as assigned

Requirements

Knowledge/skills/abilities:

Detail orientated with above-average organizational skills
Able to plan and prioritize to meet deadlines
Excellent verbal and written communication
Communicates clearly and effectively
Excellent reading comprehension
Excellent computer skills, including Microsoft programs such as Excel, Word
Thorough understanding of navigating the internet

Education/experience required:

4-year college degree
Two years experience in US-based medical billing practice or
Two years experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree

MBH Core Values: We hire/fire/promote based on these core values + job-specific performance:

Respectful of our unique cultural environment
Absolute Confidentiality
Embracing Teamwork
Loyal Behavior & Positive Attitude
Accountability
Proactiveness
Thoroughness
Focused on results
Inspired to learn & grow constantly
Devoted to providing top-tier services to our clients through the "MBH Unique Service Oriented Philosophies"

Benefits

Independent Contractor Perks

Permanent work from home
Immediate hiring
Steady freelance job
Profit sharing incentive
Paid time off
Holiday pay
Annual Performance and Raise Evaluation
Quarterly Perfect Attendance Incentive
HMO
BruntWork Loan Assistance

Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

ZR_20724_JOB

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