CREDENTIALING AND INSURANCE SUPPORT SPECIALIST - Full Time

CREDENTIALING AND INSURANCE SUPPORT SPECIALIST for Marathon, Lincoln, Langlade County Birth to 3

Marathon County Special Education, Birth to 3 is accepting applications for a Part or Full Time CREDENTIALING AND INSURANCE SUPPORT SPECIALIST

Education and Experience:

Preferred: High School Diploma and 1-2 years experience in Health Care related Business Services.

Attention to detail, ability to learn and navigate the electronic medical record, proficient with basic bookkeeping, accounting entries, and spread sheets.

Experience with healthcare receivables and collection.

Experience with credentialing providers.

Strong communication skills

Duties:

Responsible for initial credentialing and re credentialing of agency and Birth to 3 providers.

Submit prior authorizations to Forward Health Medicaid.

Work closely with the departments Revenue Cycle Management company for private insurance prior authorizations and medical necessity.

Monitors denials, eligibility issues and parental cost share.

Observes and understand EMR workflow

Data entry and importing of billing services

Assists with any account questions or concerns and works closely with the program director regarding any write offs.

Primary point of contact with insurance companies and policy holders regarding any insurance issues.

Must be reliable, organized and client oriented.

Starting wage $21.50/hour

Full benefits for full time employment