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Hospital Medical Credentialing Specialist

Location: Dallas Region
Category: Healthcare
Employment Type: Contract To Hire
Contact: debbie.taylor@addisongroup.com

Hospital Medical Credentialing Specialist

Job Title: Hospital Medical Credentialing Specialist

Location: Dallas/Fort Worth, TX

Medical Credentialing Specialist Job Description: The credentialer candidate will be working within a centralized billing office coordinating all insurance authorizations, maintaining NPI files, credentialing managed care plans, generating reports for outstanding claims, understands revenue cycle as a whole.

Medical Credentialing Specialist Requirements:

·         2+ years knowledge of working within the Hospital revenue cycle and coordinates managed care credentialing for new and existing providers.

·         Updates NPPES files, credentialing database, and billing system with current provider numbers and practice information.

Key words: Medical Credentialer, Medical Credentialing Specialist, Credentialing Specialist, A/R Credential Specialist, Hospital, Medicare, Insurance, Medicaid, managed care, Managed Care Credentialer