Medical Billing Associate, Credentialing Spec

Medical Billing Associate, Credentialing Spec Full Time Richardson, TX, US Salary Range: $18.50 To $21.00 Hourly Summary 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 Responsibilities Compiling and maintaining records of licenses, credentials, and insurance contracts Advising staff on renewal procedures Completing and submitting new provider enrollment applications required for Medicaid and commercial payers Conducting primary source verification (licenses, education, certifications) Managing re-credentialing and license/certification renewal deadlines Ensuring compliance with regulatory standards Preparing reports required by regulatory and accrediting agencies Communicating clearly with providers, their liaison, and representatives Capturing primary source documentation in computer databases Liaising with providers, payers, and internal departments Ensuring that all internal and external customers are treated with respect, providing knowledgeable answers, and a welcoming attitude Responsible for data entry and maintaining provider information in online credentialing databases and systems such as NPPES, CAQH, and TMHP Audits applications for accuracy and completeness Responsible for revalidation requests issued by payers Responsible for monitoring application progress and following up with payers as needed until confirmation of “in network” status has been received Tracking 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 entities Utilizes strong research skills to gather pertinent information regarding providers Other duties as assigned Education and Experience Required: High school diploma or General Educational Development (GED) diploma Required: 3+ years experience in medical billing with focus on credentialing and recredentialing requirements Additional Technical Skills, Traits and Knowledge High energy and passion for The Warren Center’s mission is essential Maintain high level of confidentiality with personnel information Flexible and adaptable style Clear and concise communication skills Professional, dependable, and proactive Ability to work both independently without close oversight and as a team player who will productively engage with others at varying levels of seniority within and outside The Warren Center Strong organizational and time management skills with exceptional attention to detail Advanced knowledge of Microsoft Office Suite: including Word, Excel, Outlook, SharePoint/OneDrive, and Teams Good vision Physical and Work Environment Requirements Frequently required to use hands to write and use keyboard as well as see, talk and hear Occasionally required to stand and move around for work Long periods of sitting The noise level in the work environment is usually moderate in a shared workspace Equal Opportunity Employer The 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. #J-18808-Ljbffr