Medical Credentialing Specialist:
PGM Billing is seeking a Full Time experienced Credentialing Specialist. The ideal candidate must have a minimum of 3 years experience. Knowledge of group and individual provider credentialing with EDI/ERA/EFT enrollment and clearinghouse expertise. The position requires superb communication skills, organization, as well as the ability to prioritize tasks and projects. This job is vital to the success of our clients and demands flexibility, customer focus, organization and a passion for detail.

Responsibilities:

Coordinate and maintain all initial enrollment, recredentialing and ongoing credentialing projects
Submit, track and follow up on all applications for all government and commercial payers nationwide
Obtain documents required from clients
Provide par/non par analysis to all clients as well as account managers
Provide clients with monthly status of their credentialing
Initiate client onboarding EFT/EDI/ERA Clearinghouse Enrollment
Address change
Demographic updates

Requirements:

Minimum 3 years credentialing and enrollment experience within a hospital, managed care, medical billing companies or physician groups
Knowledge of Medicare, Medicaid and Commercial Portals
Proficiency in Microsoft Office (excel, word, etc) and Outlook
Strong written and verbal communication skills
Strong organizational and excellent follow up skills
Ability to work independently
Detail Oriented and able to multi task
Willing to research independently to determine the appropriate process to complete credentialing timely
Maintain strict confidentiality
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside organization

Pay: $45,000.00 - $60,000.00 per year

Work Location: Hybrid remote in Lyndhurst, NJ 07071

PGM Billing, LLC

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Medical Credentialing Coordinator