Advocate Radiology Billing
  • Powell, OH, USA
  • 30,000-36,000
  • Salary
  • Full Time

Advocate employees are paid biweekly. We are open Monday-Friday 8-5pm. We are closed for the 8 holidays! We offer affordable medical Insurance with 2 different plan options! Advocate also offers vision, dental, Voluntary life, and AD&D. The company provides short-term disability, long-term disability, HSA contribution and $20,000 of Life Insurance free! We have a 401K plan with a 1-year waiting period and a 4% match.


Credentialing Specialist

The Credentialing Specialist is responsible for all aspects of credentialing and re-credentialing for assigned clients. The credentialing specialist is accountable for the enrollment of providers in government and managed care health plans and communicating the status to internal staff as well as the client.

 

Primary Responsibilities:

  • Compliance and maintaining current and accurate data for all providers in the system
  • Monitoring of applications and follows-up as needed
  • Work in conjunction with the client and practice managers to maintain current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents
  • Maintaining up-to-date data for each provider in credentialing databases and online systems including CAQH
  • Gather information from clients and internal sources to determine EDI, ERA, and EFT setup requirements
  • Generate EDI agreements for electronic claims, ERA, and EFT for eligible payers.

 

Education:  High School Diploma, GED, or foreign equivalent required

 

Experience:  1+ years in credentialing and/ or medical billing experience (preferred, not required)

 

Required Skills:

  • Ability to communicate in a clear, professional, and timely manner
  • Ability to follow through to completion on all assignments
  • Proficient in Windows and Microsoft Office Products
  • Ability to work well in a team environment and individually
  • Able to multitask and prioritize
  • Problem solving skills
  • Ability to follow procedures
  • Strong listening and verbal communication skills
  • Detail-oriented and organized

 

 

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.  Management maintains the right to assign or reassign duties and responsibilities to this job at any time.

Advocate Radiology Billing
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