Hybrid Remote Dermatology Credentialing Specialist

Tareen Dermatology; Roseville (MN); Hybrid; USD 29.000 - 41.000; Vollzeit

Benefits dieser Stelle

Pay range: $21.00 - $30.00 per hour

Paid Time Off

401 (k)

401 (k) matching

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Employee assistance program

Disability Insurance

Paid Holidays

Zusammenfassung

Tareen Dermatology is seeking a Medical Credentialing Specialist to manage credentialing and re-credentialing for current and future practitioners, payer credentialing, and licenses. This role is primarily remote but requires residents in the Twin Cities Metro area and occasional on-site meetings.

Responsibilities include submitting documents to payers, maintaining credentialing logs, updating NPI records, and ensuring HIPAA/OSHA compliance.

Qualifikationen

• High school diploma or equivalent required.
• 1-2 years of experience in credentialing in healthcare setting required.
• Previous dermatology experience preferred.

Aufgaben

• Credentialing/re-credentialing of current and future practitioners.
• Credentialing/re-credentialing for dispensary services.
• Submit necessary documents to insurance payers in a timely manner to ensure efficient processing.
• Submit change request forms to payers for new hires allowing for credentialing before start date.
• Location credentialing for new clinics.
• Create and maintain credentialing logs for new hires.
• Maintain updated credentialing contact list per insurance plan.
• Update NPI information on NPPES as needed.
• Obtain and verify updated medical licenses, DEA certificates, and board certifications.
• Update payers with current malpractice and license documents.
• Terminate former practitioners from networks as appropriate.
• Distribute insurance lists as changes occur.
• Troubleshoot credentialing issues with billing/insurance staff and supervisor.
• Stay updated through educational opportunities.
• Follow HIPAA and OSHA policies.

Kenntnisse

Typing and communication

Multi-tasking

Detail oriented

Follow instructions

Computer skills

Independent and team work

Credentialing experience

Payer communications

Prioritization

Practice Management and EHR systems

Ausbildung

High school diploma or equivalent

Tools

Practice Management systems

EHR systems

Jobbeschreibung

Tareen Dermatology is seeking a Medical Credentialing Specialist to manage credentialing and re-credentialing for current and future practitioners, payer credentialing, and licenses. This role is primarily remote but requires residents in the Twin Cities Metro area and occasional on-site meetings.

Responsibilities include submitting documents to payers, maintaining credentialing logs, updating NPI records, and ensuring HIPAA/OSHA compliance.