Revenue Cycle Management Credentialing Specialist
Fredericksburg, VA 
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Posted 24 days ago
Job Description

Description

For your passion and dedication as anRCM Credentialing Specialist, we offer paid training, career advancement opportunities, medical/dental/vision, PTO, paid holidays, and much, much more (read below)! We realize that your growth is paramount to our continued reputation of quality and service excellence, so we are ready to invest in YOU from day one!
Duties and Responsibilities:
  • Responsible for researching claim denials and preparing services for resubmission within timely filing deadlines
  • Responsible for processing claim denials from payers to ensure prompt payment.
  • Data entry of notes for outstanding balances
  • The process required paperwork per various payer requirements.
  • Working with the ReM team to reconcile issues.
  • Responsible for remaining current on all payer requirements.
  • Maintain procedural manuals, cross-training, and coverage of the team's work.
  • Provide exceptional Customer Service.
  • Any other duties as assigned.

Qualifications:
  • High School degree, equivalent or higher.
  • Medical Insurance experience preferred
Perks of Working Full-Time at Pathways:
  • 401 K Plan, Medical, Dental, and Vision plans
  • Paid Vacation days that increase with tenure after the first year!
  • Separate Paid Sick leave that rolls over each year
  • Paid Holidays
  • Opportunities for advancement in our national company! As we grow, you grow with us!
  • Employee Assistance Program
  • Perks @ Pathways (student loan refinancing, pet insurance, Verizon wireless discount, movie, hotel, concert and sporting event discounts)
If you're#readytoworkPathways is#readytohire!

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Pathways is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.

 

Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
Open
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