RCM Credentialing Specialist / Payor Enrollment Specialist

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UnisLink

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Private Equity Round on 2022-05

Healthcare • Healthcare Insurance

UnisLink is a provider of comprehensive medical billing services and revenue cycle management (RCM) solutions for healthcare practices. The company offers a range of services including medical coding, credentialing, patient collections, practice analytics, and MIPS reporting. UnisLink works with various healthcare specialties such as anesthesiology, cardiology, dermatology, and many more, adapting to the unique needs of each practice setting. With a focus on improving financial performance, UnisLink utilizes advanced technology compatible with major EHR systems to streamline billing processes, enhance revenue, and allow healthcare providers to focus on patient care.

📋 Description

• As a Credentialing Specialist for UnisLink, you will be responsible for the collection and input of all providers demographic information onto applications or payer systems • Collaborate with various departments to gather necessary documentation, conduct thorough credential reviews, and maintain accurate databases of provider credentials • Processing initial credential applications, re-credentialing applications, and privileging requests efficiently and accurately • Process provider applications and re-applications, initial mailing, review and loading into the database tracking system ensuring high quality standards are maintained • Renew medical licensure, hospital privileges and board certifications, DEA registrations and any other required credentialing documents for provider • Prepare weekly and monthly updates as requested • Utilize critical thinking skills to reconcile errors/updates in a timely manner • Provide application and technical support to other team members and clients • Develop and maintain documentation that assures the credentialing processes are complete and accurate • Conduct professional oral and written communications with Client’s staff, facility staff, payor sources and clients as needed • Comply with all state and federal billing rules and regulations including CMS, FDCPA, HIPAA, etc. • Participate in identifying problems and suggesting solutions. • Promote Unislink’s core values of Respect, Integrity, Customer Focus, and Continuous Improvement.

🎯 Requirements

• Previous healthcare credentialing experience • The ideal candidate has payor/provider enrollment experience AND hospital credentialing experience • Basic knowledge of insurance law, guidelines, and application language, in addition to payor requirements such as specific form requirements and reimbursement methods • Proven ability to utilize critical thinking skills to demonstrate proficiency in reviewing applications and identifying requirements posed by individual payers • Highly organized to meet deadlines and work independently in a fast paced, multi-functional environment where tasks and assignments are constantly changing • Knowledge of Microsoft Office programs and tools • Experience assisting clients with maintenance of current compliance regulations • Demonstrates strong interpersonal skills with the ability to establish and maintain effective working relationships with staff, external agencies and clients • Prompt and dependable attendance • Values a high level of confidentiality and professionalism.

🏖️ Benefits

• Medical, dental and vision insurance for you and your dependents • Healthcare Flexible spending accounts are available options • 401(k) retirement plan with up to 4% match and no vesting period • Paid parental leave • 10 days of Paid Time Off (PTO) and 8 company paid holidays annually