Medical Credentialing Specialist – Wound Care Plus, LLC – Blue Springs, MO

Wound Care Plus, LLC is a group of Advanced Wound Specialists providing differential diagnostics and treatment options to people suffering with wounds or skin conditions. Our physician-led wound specialty teams emphasize clinical and educational excellence in collaboration with other medical professionals across the continuum of care. Together, we seek to deliver the highest level of wound care excellent, knowledge and healing to those that have an impact on the outcome of wounds.

Visit our website – www.mywoundcareplus.com

ESSENTIAL FUNCTIONS

  • Completing provider credentialing and recredentialing applications; monitoring applications and follows-up as needed
  • Maintaining copies of current state licenses, malpractice coverage and any other required credentialing documents for all providers
  • Tracking license and certification expirations for all providers to ensure timely renewals
  • Maintaining knowledge of current health plan and agency requirements for credentialing providers
  • Ensures practice addresses are current with health plans, agencies and other entities
  • Processes applications for appointment and reappointment of privileges to the client company
  • Tracking licenses and professional liability expirations for appointed providers
  • Maintains client appointment files, and information in credentialing database
  • Audits health plan directories for current and accurate provider information
  • Maintain insurance website and clearinghouse access passwords and logins.
  • Professional attitude and teamwork mentality required
  • Other assigned duties as needed

MINIMUM REQUIREMENTS

  • Minimum of 3 years previous experience in medical/hospital office experience, with heavy focus on credentialing required
  • Previous experience in Accounts Receivable required
  • Thorough knowledge of payer contracting required
  • Knowledge of Explanation of Benefits (EOB’s) required
  • Understanding of benefits, copayment, coinsurance, deductibles, denial codes, and insurance allowable amounts
  • Knowledge of Electronic Remittance Advice (ERA’s)
  • Excellent communications skills, customer service skills and phone etiquette required
  • Proficient in Excel and Word with good written and oral communication skills are required
  • Ability to prioritize competing demands and multitask required
  • Exceptional organizational skills required
  • Being self-driven. We are a startup, and that means your ability to drive your own success and take initiative matters
  • Emotional maturity. We are a fun-loving group with a desire to get down to business
  • Excellent leadership and professional presence with a confident and approachable personality

Benefits Available

  • Health
  • Dental
  • Vision
  • Short & Long Term Disability
  • PTO & Sick Time Plans
  • 401K

Job Type: Full-time

Experience:

  • Medical Credentialing: 3 years (Required)

Education:

  • Bachelor’s (Preferred)

Location:

  • Lee’s Summit, MO (Preferred)

Job Type: Full-time

Pay: $17.00 – $23.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Experience:

  • Medical Credentialing: 3 years (Required)

Location:

  • Blue Springs, MO 64015 (Required)

Work Location:

  • One location

Work Remotely:

Source: Indeed.com
Click Here To Apply

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