Full-time Medical Office Insurance Credentialer Needed
Join our dynamic and innovative healthcare team at VitalCare Solutions in Fayetteville North Carolina. 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.
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.
Monday to Friday, 8am-5pm
Outpatient medical office
- 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.
- 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.
$45,000-$60,000 per year
- 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.