CREDENTIALING SPECIALIST

Boston O&P • $19 - $24 / hour • 2d ago

OrthoPediatrics Specialty Bracing:

As a leader in specialized pediatric orthotics, we take great pride in having the industry's top clinicians, technicians, and administrative staff, led by an executive team dedicated to advancing the orthotics and prosthetics profession. We have recently joined forces with OrthoPediatrics as their Specialty Bracing division to help more KIDS!

Our Vision:

To be recognized as the premier provider of pediatric orthotic and prosthetic services and products in the United States.

Our team believes in respectful truth and transparency when interacting with patients, referral sources, and our own team members. We hold ourselves accountable for providing only the best products and services to our patients. Our team is engaged and committed to continuous improvement of our products, our patient care, and ourselves.

About the Role:

We are seeking a highly motivated and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for ensuring that all healthcare providers meet the necessary qualifications and standards to provide quality care to our patients. You will work closely with our Provider Relations team to maintain positive relationships with our network of healthcare providers. Your attention to detail and ability to navigate the complex world of medical insurance and Medicaid will be critical to your success in this role. Ultimately, your work will contribute to the overall success of our healthcare organization.

Minimum Qualifications:

Bachelor's degree in healthcare administration or related field
2+ years of experience in a medical setting
Strong knowledge of medical terminology and healthcare industry
Experience with medical insurance and Medicaid
Excellent attention to detail and organizational skills

Preferred Qualifications:

Certification in medical credentialing
Experience with ICD-9 and CPT coding

Responsibilities:

Verify and maintain accurate provider information in our credentialing database
Ensure that all healthcare providers meet the necessary qualifications and standards to provide quality care to our patients
Collaborate with our Provider Relations team to maintain positive relationships with our network of healthcare providers
Monitor and track provider credentialing status and ensure timely renewals
Communicate with healthcare providers to obtain missing information and resolve any credentialing issues

Skills:

As a Credentialing Specialist, you will use your strong knowledge of medical terminology and healthcare industry to ensure that all healthcare providers meet the necessary qualifications and standards to provide quality care to our patients. Your experience with medical insurance and Medicaid will be critical to your success in navigating the complex world of healthcare. You will use your excellent attention to detail and organizational skills to verify and maintain accurate provider information in our credentialing database. Additionally, your communication skills will be essential in collaborating with our Provider Relations team and healthcare providers to resolve any credentialing issues. Finally, your experience with ICD-9 and CPT coding will be beneficial in this role.

Benefits Offered for Eligible Employees:

Medical Insurance
Dental Insurance
Vision Insurance
Long & Short-Term Disability
Life Insurance and AD&D
Retirement Savings Plan
Paid Time Off (PTO) & Holidays

Equal Opportunity Employer:

OPSB is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

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