• Medical Collector Credentialing Specialist

    Robert Half Accountemps (Manhattan Beach, CA)


    Description

    We are looking for a detail-oriented Medical Collector Credentialing Specialist to join our team in Manhattan Beach, California. The Medical Collector Credentialing Specialist will play a pivotal part in ensuring providers are properly credentialed with Medicare and commercial insurance plans. The right person must be strong with medical credentialing and exposure to medical insurance collections. This position offers an excellent opportunity to expand your expertise and gain hands-on training in medical billing.

    Responsibilities:

    • Credentialing processes for 12-13 healthcare providers, ensuring compliance with Medicare and commercial insurance requirements.

    • Prepare and submit detailed applications for provider credentialing and re-credentialing.

    • Insurance collections and AR insurance follow up on denied claims.

    • Maintain accurate and up-to-date records of provider credentials and certifications.

    • Collaborate with insurance carriers to resolve credentialing-related issues efficiently.

    • Monitor and track credentialing timelines to ensure timely renewals and updates.

    • Assist in identifying and implementing process improvements for credentialing workflows.

    • Provide support and training in medical billing processes, as required.

    • Act as a liaison between providers and insurance companies to address credentialing inquiries.

    • Ensure adherence to regulatory standards and organizational policies.

    • Generate reports and documentation related to credentialing activities for internal review.

    Requirements

    Medical Credentialing, Medical Collections, HMO, PPO

     

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    Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

     

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