Credentialing & Licensing Specialist

$20.14 - $30.21 per hour

Medical Service Company

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
Advancement Opportunities
Medical, Dental & Vision Insurance
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

Pay Range: $20.14 - $30.21 per hour

Apply

Vacancy posted 2 days ago

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