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 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 assignedRequirements
Knowledge / skills / abilities :
Detail orientated with above-average organizational skillsAble to plan and prioritize to meet deadlinesExcellent verbal and written communicationCommunicates clearly and effectivelyExcellent reading comprehensionExcellent computer skills, including Microsoft programs such as Excel, WordThorough understanding of navigating the internetEducation / experience required :
At least 2 years in collegeTwo years experience in US-based medical billing practice orTwo 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 degreeMBH Core Values : We hire / fire / promote based on these core values + job-specific performance :
Respectful of our unique cultural environmentAbsolute ConfidentialityEmbracing TeamworkLoyal Behavior & Positive AttitudeAccountabilityProactivenessThoroughnessFocused on resultsInspired to learn & grow constantlyDevoted to providing top-tier services to our clients through the "Unique Service Oriented Philosophies"Benefits
Independent Contractor Perks
Permanent work from homeImmediate hiringSteady freelance jobProfit sharing incentivePaid time offHoliday payAnnual Performance and Raise EvaluationQuarterly Perfect Attendance IncentiveHMOBruntWork Loan AssistancePlease 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_28916_JOB
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 : At least 2 years in college 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
