Medic Management Group
51 - 200 employees
🏥 Healthcare
💼 Consulting
🤝 B2B
Healthcare • Consulting • B2B
Medic Management Group is a company whose name indicates it provides management, administrative, or advisory services related to medical or healthcare operations. Public information supplied was limited (LinkedIn cookie/login content only), so this description is deliberately cautious: based on the name it likely supports healthcare providers, facilities, or programs with management, operational support, billing/administrative services, or consultancy rather than being a direct-care provider. Further public details would be needed to specify exact services or business model.
Provider Enrollment, Credentialing Specialist
Job not on LinkedIn
🔥 1 hour ago
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Medic Management Group
51 - 200 employees
🏥 Healthcare
💼 Consulting
🤝 B2B
Healthcare • Consulting • B2B
Medic Management Group is a company whose name indicates it provides management, administrative, or advisory services related to medical or healthcare operations. Public information supplied was limited (LinkedIn cookie/login content only), so this description is deliberately cautious: based on the name it likely supports healthcare providers, facilities, or programs with management, operational support, billing/administrative services, or consultancy rather than being a direct-care provider. Further public details would be needed to specify exact services or business model.
📋 Description
• Credentialing new and established health care providers • Maintenance of information including application completion, follow up, data collection, data entry, and document review • Establish and maintain data entry in CAQH • Prepare credentialing applications for all initial applications and reappointments in a timely and complete manner • Verify provider and group information with insurance companies • Coordinate information for enrollment and terminations of all providers • Maintain good rapport and professional communication with Health Plan Representatives • Handle enrollment with Medicare, Medicaid, and commercial insurances in multiple states • Build strong working relationships with medical facilities and provider offices • Adhere to department policies and procedures including timely delivery of completed work and use of resources • Responsible for entering, updating, maintaining NPI and any other applicable provider numbers • Provide concise, timely communication to appropriate leadership regarding potential credentialing issues • Proactively share knowledge with colleagues • Perform analysis and appropriate follow-up of each initial application and reappointment • Work with physicians, professional staff and physician's office staff to acquire necessary materials and information
🎯 Requirements
• High school diploma or equivalent • Minimum 3 years of credentialing experience • Billing knowledge and experience preferred • Prior experience with FQHC and Behavioral Health necessary • Current knowledge of provider enrollment processes with Medicare, Medicaid, and commercial insurances • Working knowledge of Availity, PECOS, etc. is required • Proficiency in MS Office, primarily Word, Outlook, Excel • Excellent interpersonal skills to communicate with medical staff, providers and clients • Detail orientation • Ability to abide by HIPPA standards and requirements • Ability to multi-task • Ability to work as a team player • Ability to handle confidential information in a professional manner • Willingness to take on new tasks and responsibilities • Capable of taking the initiative to accomplish tasks • Strong time management and organization skills • Excellent problem solving and decision-making abilities
Apply NowSimilar Jobs
🔥 13 hours ago
Enrollment Specialist focusing on government payer enrollment processes for individual providers and groups. Responsible for timely submissions and maintenance of enrollment documentation.
🕒 3 days ago
Provider Enrollment Specialist coordinating timely and accurate insurance enrollment for employed and contracted providers. Ensuring compliance and effective communication with providers and payors.
🕒 3 days ago
Provider Enrollment Specialist managing enrollment for healthcare providers with insurance carriers. Requires detail-oriented approach and strong communication skills in a remote environment.
🕒 6 days ago
Provider Enrollment Specialist managing enrollment and credentialing processes for Aspen Dental providers. Ensuring accurate submissions and maintaining relationships with insurance payers and dental plans.
🕒 July 20
Provider Enrollment Specialist coordinating Medicare and Medicaid enrollments for medical staff at Denver Health. Ensuring compliance with regulatory agencies and maintaining relations with providers.
