Credentialing Coordinator | Boca Raton, FL

About Albion Staffing Solutions:
Albion has been offering Temp; Contract and Direct Hire Staffing Services for 20-years from offices located throughout South Florida. Offering General Admin/Clerical and Light Industrial staffing services, Albion also specializes in the Logistics, Allied Healthcare and Banking industries.

* Inquire about our Incentive and Employee Referral Bonuses Plan * We are the highest paying Staffing Company in South Florida.

About this position:

Albion Healthcare's division has a client, a growing medical practice management company, looking for a Credentialing Coordinator for the Boca Raton, FL area.

Candidates must have a minimum of 1-2 years active experience with credentialing medical practices and/or physicians with Medicare and commercial insurance providers.

Candidates must be organized and able to multi-task high volume of files in various stages at the same time. This position will also include organizing and maintaining physician files; maintain credentialing reports and conduct written and oral follow up to determine application status and communicate with all necessary internal departments.

Job duties will include:

• Complete all requests for Medicare, private insurance and hospital credentialing for numerous physicians and mid-level practitioners in various states.
• Manage a thorough and detailed tracking system for completed and pending credentialing assignments.
• Maintain all files related to practitioner credentialing and licensing by documenting all tasks, phone calls, emails and other forms of communication during the enrollment process in the database.
• Manage provider contracts, fee schedules and contract manager relationships, while analyzing contracts, determining rates and terms and identifying effective/expiration dates.
• Respond to internal and external requests for credentialing and licensing data, including the preparation and presentation of periodic status reports.
• Develop and maintain relationships with individual contacts for the government agencies and commercial insurance providers.

Required qualifications:

• Minimum of 1-2 years active experience with credentialing medical practices and/or physicians with Medicare and commercial insurance providers.
• Excellent computer skills, including with Microsoft Excel, Outlook and Word.
• Familiarity with CAQH and experience updating CAQH profiles.
• Some medical billing experience helpful, but not required.
• Strong written and verbal communication, interpersonal, and customer-service skills.
• Excellent organizational, time management, customer service and problem-solving skills.
• Demonstrated self-starter, detail-oriented and function with a sense of urgency at all times.
• Ability to work well independently as well as part of a team.

Workplace Location:

Applicants will work in the customer's facility - located in Boca Raton, FL

Candidate Advice:

• Strict Covid-19 Protocols applicable.
• Albion uses E-Verify to verify employment eligibility.
• Pre-Employment and random Drug and Background testing applicable.
• Only Local Candidates will be considered; no relocation provided.
• Reliable Transportation to/from the workplace is necessary.