Be Invaluable.

Be Inspired.

Be InSync!

 

At InSync Healthcare Solutions, we have a story to tell…We have quickly grown to become the industry’s leading Electronic Medical Record software provider in the US. We know that our quest to be best requires many dynamic and dedicated professionals in every area throughout our organization.  We work hard, have fun, and continually invest in our team members futures. With rewarding career paths, continued learning and internal promotions, we have created a corporate culture that allows you to grow personally and professionally. As we focus on our future, we are seeking:

 

Credentialing Specialist

Tampa, FL Headquarters

 

Job Description

InSync is seeking a Credentialing Specialist for our RCM Department who will be responsible for the management of the payer registration process. This includes new credentialing and renewals. The ideal Credentialing Specialist candidate will have prior billing experience and be able to effectively interact and communicate with insurance companies and providers.

 

Job Duties

  • Maintain organized and accurate files to ensure the credentialing is obtained from all physician and non-physician providers.
  • Timely and appropriately apply for, process, submit, and maintain credentials and licensing with insurance companies and federally subsidized government plans, such as Medicare and Medicaid
  • Ensure that all insurance companies have current and accurate information they need to process claims in a timely manner.
  • Verify compliance of all documents prior to submission.
  • Communicate effectively with clients on payer registration status and updates.
  • Build and maintain relationships with payer representatives.
  • Proactively identify and resolve any issues a client may face during the payer registration process.
  • Demonstrate self-management behaviors and being a self-starter, following established policies and procedures and promote an efficient, cost effective work environment.
  • Keep RCM Account Managers, Supervisors and management, and providers informed at all times of the status of new/revised or pending physician and non-physician provider numbers, effective dates, plans, etc. to prevent delayed claims filing and cash flows.
  • Sets up and maintains provider information in online credentialing databases and system
  • Track license and certification expirations for all providers to ensure timely renewals


Job Requirements

  • 2-3 years of insurance credentialing experience including federal government plans
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • Hands-on knowledge of the credentialing process
  • Strong written and oral communications skills
  • Working knowledge of Medical Terminology.
  • May require some travel
  • Experience working directly with providers
  • Microsoft Office Suite
  • Ability to work in a fast-paced environment

 

We InVest in you!

 

The things that make you unique, are the same things that make us successful. Your talents, creativity and ideas help full our success.  We reward your individuality and talents with low and no cost healthcare, generous PTO program, Life, dental and vision insurance, short and long term disability, 401k and many other perks to ensure your career satisfaction. And that’s just the beginning… you’ll also enjoy Fido Fridays, Team outings, Food Truck Fridays, and so much more! If you thrive in an environment that encourages your individuality, ideas and growth, we encourage you to apply today.

 

 

InSync Healthcare Solutions is proud to be an equal opportunity employer.