Full-time Medical Office Insurance Credentialer Needed

Join our dynamic and innovative healthcare team at VitalCare Solutions in Milwaukee, WI. We are a medical office committed to delivering exceptional patient care. With our state-of-the-art facilities and a dedicated team of professionals, we strive to provide a nurturing environment where employees can excel and grow in their careers. As an Insurance Credentialer, you will play a vital role in ensuring accurate insurance credentialing, enabling our organization to efficiently navigate the complex landscape of medical insurance.

Sign-On Bonus:

We offer a competitive sign-on bonus to attract top talent in the field of Medical Office Insurance Credentialing. Details will be discussed during the interview process.

Schedule:

Monday to Friday, 8am-5pm

Job Setting:

Outpatient medical office

Responsibilities:

• Conducting thorough and accurate insurance credentialing and re-credentialing processes for healthcare providers, ensuring compliance with insurance carrier requirements.
• Collaborating with physicians, office staff, and insurance companies to obtain necessary documentation and information for successful credentialing.
• Verifying and updating provider information in credentialing databases and maintaining accurate records.
• Monitoring and ensuring the timely renewal of provider credentials, licenses, and certifications.
• Staying up-to-date with changing insurance regulations, policies, and procedures to ensure compliance and accurate billing practices.
• Resolving any credentialing-related issues or discrepancies with insurance carriers, escalating complex matters as needed.
• Coordinating with internal departments, such as billing and medical records, to ensure accurate and efficient claims processing.
• Assisting with the preparation of reports and data analysis related to credentialing activities.

Qualifications:

• Bachelor's degree in healthcare administration, business administration, or a related field.
• Minimum of 2 years of experience in medical office insurance credentialing, preferably in a fast-paced healthcare setting.
• Strong knowledge of insurance credentialing processes, including application completion, verification, and follow-up.
• Familiarity with insurance plans, payer requirements, and relevant regulatory standards (e.g., CAQH, NCQA, Joint Commission).
• Proficiency in using credentialing software and databases (e.g., Cactus, IntelliCred).
• Excellent attention to detail, organizational skills, and the ability to manage multiple tasks simultaneously.
• Strong analytical and problem-solving abilities to resolve credentialing issues effectively.
• Exceptional communication and interpersonal skills to collaborate with various stakeholders and build positive relationships.
• Professionalism, integrity, and a commitment to maintaining confidentiality.

Salary:

$45,000-$60,000 per year

Benefits:

• Health, dental, and vision insurance plans
• Retirement savings plan with employer match
• Paid time off (vacation, sick leave, and holidays)
• Continuing education opportunities
• Employee assistance program (EAP)
• Professional development and career advancement opportunities
• Employee wellness programs

Join our team of dedicated professionals and make a significant impact on the healthcare industry by ensuring accurate insurance credentialing processes.

Apply with your CV today and take the next step towards a rewarding career.