Credentialing Specialist - E. Central Medical Management Inc. ECM

E Central Medical Management is an established medical management company founded in 1999. We pride ourselves in helping medical providers stay profitable and providing total practice solutions. Along with billing and coding, ECM's services include credentialing, practice management, compliance, revenue enhancement, marketing and more.

We are currently seeking a part-time Credentialing Specialist. In this role, you will be responsible for credentialing physicians and other medical providers into various insurance companies. You will ensure timely and accurate completion of all necessary documentation for Electronic Remittance Advice (ERA) processing. This role ensures that providers are enrolled with payers for the receipt of ERAs, optimizing claim processing and payment reconciliation. You will be responsible for communicating with both government and commercial payers; working with the medical providers and their office staff; requesting, completing and submitting all documentation to complete applications; and continuous follow up to ensure completion of process. Ideal candidate will have strong communication skills, experience working in the credentialing and/or medical field and experience with ERAs. You must be responsible, hardworking and have a great attention to detail.

Qualifications:

• High school diploma or equivalent
• 1-2 years of credentialing experience
• Familiarity with ERA / EFT setup
• Excellent communication skills and interpersonal skills, with the ability to effectively interact with providers, insurance companies and staff
• Excellent organizational skills with strong attention to detail
• Proficient in Office 365