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Provider Services Specialist

Singing River Health System

This is a Full-time position in Gautier, MS posted February 19, 2021.

Provider Services SpecialistRobert L.

Lingle Administrative Building | Full-Time | 8:00am
– 5:00pm Monday through Friday | Gautier, MississippiUnited States Position OverviewThe Provider Services Specialist has responsibilities encompassing five main areas: 1) educational coding assessments for employedphysicians; 2) assisting the Manager of Financial Incentives with quality reporting and ensuring compliance; 3) compiling bad debt list used for the Annual Cost Report; 4) provider enrollment for employed physicians; and 5) provider credentialing.

He/She administers processes and procedures leading to the appointment and reappointment of physicians for governmental and managed care participation.

The Provider Services Specialist ensures the timely and accurate completion and submission of applications for participation in Medicare and Medicaid programs for employed physicians and mid-level providers.

He/She is responsible for assisting with validating bad debtfor the Annual Cost Report and assisting in educational coding assessments for employed physicians.

EducationHigh School diploma or equivalent required.

Associates Degree or equivalent credit hours preferred with courses in finance, accounting, or business administration.

LicenseN/ACertificationCertified Provider Credentialing Specialist (CPCS) preferred at (or within the first 3 years of) job start.

Evaluation and Management Coding Certification through the AAPC is preferred at (or within the first year of) job start; must complete required continuing education to recertify.ExperienceA minimum of five (5) years’ experience in Physician Billing and Coding preferred.

Two (2) years’ experience with provider enrollmentpreferred.

Physical DemandsWork is moderately active: involves sitting with frequent requirements to move about the office move about the facility, and to travel to another facility within the SRHS service area.

Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Work involves using repetitive motions: substantial movements of the wrists, hands and/or fingers while operating standard office equipment such as computer keyboard copier and 10-key.

Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound.

Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e.

shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.Mental DemandsMust demonstrate keen mental faculties/assessment and decision making abilities.

Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone.

Must demonstrate strong written and verbal communication skills.

Must possess emotional stability conducive to dealing with high stress levels.

Must demonstrate ability to work under pressure and meet deadlines.

Attention to detail and the ability to multi-task in complex situations is required.

Must maintain a respectable working relationship throughout the organization.

Special DemandsWork requires the ability to function independently, adapt to workload demands, set priorities, understand and set goals.

Must possess highly developed organizational, planning and management writing skills, and the ability to create and maintain a collaborative work environment.

Must possess superior customer service skills and professional etiquette.

Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook, Word, Excel, and PowerPoint.

Job requires traveling throughout the SRHS service area
– with the employee providing his/her own transportation.

Must have a valid driver license.