Provider Credentialing Representative

PATH (People Assisting The Homeless) (Old); Skowhegan (ME); On-site; USD 31,000 - 53,000; Full time

Job summary

PATH (People Assisting The Homeless) (Old) in Skowhegan, ME seeks a Credentialing Representative to manage Medicare PECOS, MaineCare MIHMS, and RFGH NPI site enrollments. You will coordinate credentialing for 96+ providers with commercial, state, and federal insurers to ensure timely claim payments and complete annual re-credentialing.

The role requires a minimum high school education; an associate degree is preferred, with prior credentialing experience favorable.

Qualifications

• The Credentialing Representative must have a minimum of a high school education, Associate Degree preferred.
• Previous experience in a similar role preferred.

Responsibilities

• Set up and maintain Medicare PECOS website, MaineCare MIHMS site, RFGH NPI sites, I&A site.
• Enroll all RFGH providers with contracted commercial, state and federal insurances.
• Ensure payment of all claims to RFGH.
• Perform annual re-credentialing with all contracted commercial insurances.

Education

High school diploma

Associate degree

Job description

• Location PO Box 468,Skowhegan, ME, 04976,United States
• Job Category Administrative
• Employee Type Full Time

Description

The Business Office Credentialing Representative shall be responsible for the set up and maintenance of the Medicare PECOS website, MaineCare MIHMS website, RFGH NPI sites, I&A site and enrollment of all of the RFGH (96+) providers with all contracted commercial, state and federal insurances to ensure payment of all claims to RFGH. The Credentialing Rep is also responsible for annual re-credentialing with all contracted commercial insurances.

Status : Full time

Qualities : Performs tasks in a friendly, tactful, and professional manner with regard to other employees, outside agencies, and the general public and patients.

Requirements : The Credentialing Representative must have a minimum of a high school education, Associates Degree preferred. Previous experience in a similar role preferred.

The pay range for this position is $22.76 to $38.61 per hour, based on relevant education, qualifications, and experience

Additional Information

• PackageDetails 73954|Employee Background Package with AKAs