Job Details


Requisition Number 17-3650
Post Date 7/7/2017
Title Credentialing Specialist
Job Family Administrative/Clerical
Subsidiary McLaren Medical Group
Department 90153 - Physician Billing
Location Flint Region
City Flint
State MI
Full Time Yes
Hours per 2 week pay period 80
Schedule 8:00 AM to 5:00 PM
Weekends and/or Holidays Required No
On Call Required No
Description JOB SUMMARY:

Processes and maintains all provider and non-provider applications for all MMG, subsidiaries and MSO physicians for all insurance carriers.
Handles billing and revenue cycle inquiries as they relate to provider enrollment issues. Serves as a liaison between the respective offices and credentialing department.


REQUIRED QUALIFICATIONS

• High School diploma and related courses.
• Minimum 2 years experience of physician billing and/or credentialing process.
• Extensive knowledge of CAQH System, NPPES, BCBSM EDI TPA online application, CHAMPS, CMS and PECOS
• Must have knowledge of all third party carriers application and claims processing guidelines as it relates to PIN info.
• Must be able to communicate professionally with all providers, CEO’s VP’s and Directors of all MHCC entities.


PREFERRED QUALIFICATIONS

• Experience with Microsoft Office.
• 1-2 years within Physician Billing Department
• Ability to score 65 wpm on data entry test
  • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
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