Insurance Credentialing Specialist

Schedule: Full time, days 

Main Function: 

• Ensures that all hospital-based providers are credentialed and recertified with applicable payers, working in conjunctions with the 4 Southern Region hospitals, legal and regulatory affairs, and Professional Billing. Recognizes and supports The Thompson Way. Lives the CARES values at all times.

Job Specific Competencies: 

• Demonstrates skills in customer service, communication and problem solving.
• Demonstrates organization and prioritizing assignments.
• Demonstrates understanding of third-party payer regulations for enrollment and reverification of medical providers.
• Demonstrates ability to maintain a collaborative working relationship with all department team members, system departments, medical staff office, payer representatives, and the medical staff.
• Must ensure confidentiality and integrity of all data.
• Exhibits time management skills, keyboarding skills, and multi-tasking abilities.
• Makes every effort to satisfy the needs of every customer in a friendly, service-oriented manner.

• Lives the CARES values at all times.

Qualifications: 

• Energetic individual who demonstrates ability to work both independently as well as with multiple teams of individuals.
• Individual must be detail oriented and willing to learn.
• Confidentiality of all information is imperative.

Education and Experience: 

• Associate degree or 3 years related work experience in health care billing required.
• 2 years of previous medical billing experience, professional billing preferred.
• Excellent communication and customer relation skills
• Proficient computer skills including Excel, Power Point, Word, and all web-based payer requirements.
• Working knowledge of third-party payers

Pay Range: $19.50 - $23.00

Starting Pay: Based on experience 

Thompson Health is an EOE encouraging  individuals with disabilities and veterans to apply