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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing and re-credentialing processes for providers, with a strong focus on compliance with Medicare and state regulations. Proficient in managing multiple tasks while maintaining attention to detail and effective communication with stakeholders.
Highest-signal resume keywords
Medicare 855B Application DraftingCredentialing CertificationCPCS CertificationLicensure & Certification Database ManagementInterpersonal Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CredentialingRe-credentialingProvider EnrollmentRegulatory ComplianceDatabase ManagementPolicy DevelopmentLegal Document TranslationAttention to DetailTyping ProficiencyTime Management
Soft Skills
Organizational SkillsInterpersonal SkillsProfessionalismCommunication SkillsTeam Collaboration
Tools & Technologies
Microsoft WordAdobe Acrobat
Certifications & Qualifications
CPCS CertificationCredentialing CertificationParalegal Certification
Industry Keywords
AnesthesiaASC EntitiesMedicareState Licensing AgenciesFederal Regulatory Agencies
About the role
Key responsibilities & impact- Credentialing and re-credentialing individual providers related to the operation of Anesthesia and ASC entities;
- Enrollment and revalidation of providers with government and commercial payors;
- Regular contact via telephone and correspondence with state licensing agencies and federal regulatory agencies such as Medicare carriers to enroll providers into the Medicare program;
- Provide timely turnaround of credentialing information and federal projects;
- Work within a strict time frame of setting priorities, using discretion to exercise confidentiality;
- Work with state and government agencies, and legal representatives;
- Research and help to develop policies and procedures for the department;
- Other projects as assigned requiring the ability to work with other co-workers toward successful completion;
- Regular and reliable attendance is required.
Requirements
What you’ll need- Experience drafting and completing Medicare 855B applications is preferred
- Excellent PC Skills including Microsoft Word and Adobe Acrobat experience
- Able to type proficiently and accurately while recording entries into multiple Licensure & Certification databases to track work status
- Able to read, understand, and translate legalese and state statutes and regulations, both verbally and in writing, for relevant stakeholders.
- Associate’s Degree from an accredited College or University; Bachelor’s Degree, Credentialing Certification or experience, or Paralegal Certification or experience preferred.
- Minimum of 5 years’ experience as detailed above is required; in lieu of a degree.
- CPCS Certification is desirable.
- Exceptional interpersonal skills, organizational skills, attention to detail, and accuracy are needed to perform in this work environment.
- Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.
- Must be able to work well with others.
- Strong verbal and written communication skills required.
- Must be detail oriented and organized.
Benefits
Comp & perks- Paid Time Off
- Medical
- Dental
- Vision
- Life
- Disability
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- FSAs for Transportation and Parking & HSAs
- Matching 401(K) Plan
- Paid family leave
