Credentialing Specialist - Gateway Regional Medical Center
Granite City, IL
About the Job
WE ARE GATEWAY REGIONAL MEDICAL CENTER!
Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.
We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.
WHAT WE OFFER
- Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.
- Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).
- Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.
JOB DUTIES/RESPONSIBILITIES
- Maintain providers CAQH profiles.
- Submit provider enrollment applications to insurance companies.
- Follow up on status of provider enrollment applications.
- Request provider rosters from insurance every 3 months to make sure demographic information is correct.
- Term providers from insurances as needed.
- Follow up with insurances on provider enrollment applications at least once a month.
- Maintain demographics with insurance companies.
- Submit re-credentialing provider enrollment applications when needed.
- Answer daily emails from insurances regarding enrollments.
- Submit information to Medicare.
- Submit information to IMPACT.
- Work credentialing claim holds in EMR.
EDUCATION/EXPERIENCE
- Must have High School Diploma or GED Equivalent
Source : Gateway Regional Medical Center