Credentialing & Licensing Specialist

Position: Credentialing & Licensing Specialist Location: Cleveland, OH Job Id: 2318 # of Openings: 1 At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13-Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! We are excited to announce that we are hiring for a full-time hybrid position . Work in our office location on Tuesdays, Wednesdays, and Thursdays , and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team! Competitive Pay, Commissions, Auto & Mileage Reimbursement HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays The Credentialing & Licensing Specialist Performs diversified duties in connection with the credentialing and regulatory activities of the Company. Responsibilities and Duties Responsible for replying to and tracking of credentialing for a variety of payers including Medicare, Medicaid, and commercial payers Monitor upcoming renewal dates and work with affected parties to advise them of the required steps to maintain their credentials. Assist with the filing and renewal of state licenses Research regarding licensing or credentialing requirements in their area Work closely with the Sr. Director, Revenue Cycle and billing staff to identify and resolve any denials or authorization issues related to provider credentialing Participate in the development of internal credentialing processes Assist with maintenance of branch records including all regulatory requirements such as licenses, etc. Maintain accurate provider profiles on PECOS, NPPES, and CMS databases Assist with acquisition activities Keep records in licenses, credentials, and insurance contracts Serves as a compliance resource for staff in all branches Other duties as assigned Minimum Qualifications Education: Graduate of an accredited high school or GED equivalence. Experience/Knowledge/Skills/Physical Requirements: Industry performing similar duties in a DME facility experience, preferred Ability to work independently to complete timely projects Demonstrated ability to use Microsoft Excel, Word, and Smartsheet Familiarity with Medicare, State Medicaid and commercial insurance reimbursements as related to DME billing and reimbursement requirements. Excellent verbal and written communication and customer relations skills. Excellent interpersonal and organizational skills (a team player). Strong office/clerical motor skills in addition to computer and telephone usage #J-18808-Ljbffr