Credentialing Specialist in Bowling Green, Kentucky at Med Center Health

Performs payer credentialing activities by completing government and payer mandated documentation and data required to enroll, revalidate and/or update changes for all Med Center Health facilities, physician practices, and individual providers. Coordinates onboarding activities with the Medical Staff office, practice managers, and executives to efficiently prepare applications for new/existing providers as well as facilities that become acquired by Med Center Health. Works directly with payer representatives for application acceptance, follow-up and denials due to loading issues. Collaborates with CFR leadership to coordinate timely billing, and communicates payer load completion to practice managers/facility administrators for patient care purposes. Facilitates demonstration of compliance for billing and collection of all government and non-government payers.

Education

Certifications/Licensure

The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.