TekSoft Solutions is seeking a meticulous and proactive Medical Billing Credentialing Executive to manage and streamline the credentialing processes for healthcare providers. The ideal candidate will ensure accurate and timely enrollments with insurance payers, maintain compliance with industry standards, and contribute to the efficiency of our healthcare solutions.
Key Responsibilities:
- Manage credentialing and re-credentialing processes for providers with insurance payers, including Medicare and Medicaid.
- Accurately prepare and submit credentialing applications and required documentation.
- Conduct primary source verification for licenses, certifications, and education credentials.
- Follow up promptly with payers to expedite the enrollment process.
- Maintain and monitor an organized database of provider credentials, ensuring timely renewals.
- Collaborate with healthcare providers to gather required documentation and resolve credentialing issues.
- Stay updated on payer requirements and healthcare compliance regulations.
- Assist with contract negotiations and payer communications when needed.
Qualifications:
- Prior experience in medical billing, credentialing, or a related field.
- Strong understanding of insurance payer requirements and healthcare compliance regulations.
- Excellent organizational skills with attention to detail.
- Proficiency in using credentialing software and tools.
- Strong communication and problem-solving abilities.
- Self-motivated and capable of working independently to meet deadlines.
Why Join TekSoft Solutions?
- Join a fast-growing team dedicated to simplifying medical billing and credentialing processes for healthcare providers.
- Opportunities for career development and professional growth.
- Enjoy a collaborative and supportive work environment.
How to Apply:
If you’re ready to advance your career in medical billing and credentialing, please send your resume to career@teksoft.net.