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Job description
Medical Billing Associate – Credentialing SpecialistThe Warren Center advocates, serves and empowers the children and families impacted by developmental delays and disabilities.Demonstrate The Warren Center's Core Values:We are family focused and work passionately for our families.We play well with others, we have fun, find joy and love a good laugh while treating everyone with respect, courtesy and honesty.We are curious, we ask why and we seek to understand, to learn and to grow.We are solution driven, when we see an issue, we speak up, act and don't rest until solutions work efficiently and well.Reporting directly to the Chief Operating Officer, the Medical Billing Associate – Credentialing Specialist supports the overall mission of The Warren Center by ensuring the agency and therapists are properly enrolled and compliant with insurance payers, managing applications, licenses, renewals and re-attestations.Essential Duties and ResponsibilitiesTo perform this job successfully, an individual must be able to perform the following satisfactorily.Compiling and maintaining records of licenses, credentials, and insurance contractsAdvising staff on renewal proceduresCompleting and submitting new provider enrollment applications required for Medicaid, and commercial payersConducting primary source verification (licenses, education, certifications)Managing re-credentialing and license/certification renewal deadlinesEnsuring compliance with regulatory standardsPreparing reports required by regulatory and accrediting agenciesCommunicating clearly with providers, their liaisons, and/or representativesCapturing primary source documentation in computer databasesLiaising with providers, payers, and internal departments.Ensure that all internal and external customers are treated with respect, provide knowledgeable answers, and a welcoming attitudeResponsible for data entry and maintaining provider information in online credentialing databases and systems such as NPPES, CAQH, and TMHPAudits applications for accuracy and completenessResponsible for revalidation requests issued by payersResponsible for monitoring application progress and following up with payers as needed until confirmation of "in network" status has been receivedTracking all required documentation and expiration dates, insurance re-attestation dates, etc. and ensuring that all is current and submitted in a timely manner to appropriate entitiesUtilizes strong research skills to gather pertinent information regarding providersOther duties as assignedEducation and ExperienceRequired: High school diploma or General Educational Development (GED) diplomaRequired: 3+ experience in medical billing with focus on credentialing and recredentialing requirementsAdditional Technical Skills, Traits and KnowledgeTo perform this job successfully, an individual must be able to perform each qualification satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.High energy and passion for The Warren Center's mission is essentialMaintain high level of confidentiality with personnel informationFlexible and adaptable styleClear and concise communication skillsProfessional, dependable, and proactiveAbility to work both independently without close oversight, and also as a team player who will productively engage with others at varying levels of seniority within and outside The Warren CenterStrong organizational and time management skills with exceptional attention to detailAdvanced knowledge of Microsoft Office Suite: including Word, Excel, Outlook, SharePoint/OneDrive, and TeamsGood finger dexterityGood visionThe physical requirements and work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job. Reasonable accommodation will be provided to enable individuals with disabilities to perform the essential functions of the job.Frequently required to use hands to write and use keyboard as well as see, talk and hearOccasionally required to stand and move around for workModerate stress levelLong periods of sittingThe noise level in the work environment is usually moderate in a shared workspaceThe Warren Center is an Equal Opportunity Employer, and we believe in an inclusive culture for all. The Warren Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Worksite address
richardson, TX, 75080, US
Who can apply
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