UR Thompson Health

Insurance Credentialing Specialist

UR Thompson Health  •  Canandaigua, NY (Onsite)  •  1 month ago
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Job Description

Schedule: Full time, days

Main Function:

  • Ensures that all hospital-based providers are credentialed and recertified with applicable payers, working in conjunctions with the 4 Southern Region hospitals, legal and regulatory affairs, and Professional Billing. Recognizes and supports The Thompson Way. Lives the CARES values at all times.

Job Specific Competencies:

  • Demonstrates skills in customer service, communication and problem solving.
  • Demonstrates organization and prioritizing assignments.
  • Demonstrates understanding of third-party payer regulations for enrollment and reverification of medical providers.
  • Demonstrates ability to maintain a collaborative working relationship with all department team members, system departments, medical staff office, payer representatives, and the medical staff.
  • Must ensure confidentiality and integrity of all data.
  • Exhibits time management skills, keyboarding skills, and multi-tasking abilities.
  • Makes every effort to satisfy the needs of every customer in a friendly, service-oriented manner.
  • Lives the CARES values at all times.

Qualifications:

  • Energetic individual who demonstrates ability to work both independently as well as with multiple teams of individuals.
  • Individual must be detail oriented and willing to learn.
  • Confidentiality of all information is imperative.

Education and Experience:

  • Associate degree or 3 years related work experience in health care billing required.
  • 2 years of previous medical billing experience, professional billing preferred.
  • Excellent communication and customer relation skills
  • Proficient computer skills including Excel, Power Point, Word, and all web-based payer requirements.
  • Working knowledge of third-party payers

Pay Range: $19.50 - $23.00

Starting Pay: Based on experience

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply

UR Thompson Health

About UR Thompson Health

Welcome to UR Medicine Thompson Health's home on LinkedIn.

An award-winning, nonprofit healthcare system, Thompson began as a small community hospital more than 100 years ago. Today, we are the premier healthcare provider for approximately 215,000 people in upstate New York’s greater Finger Lakes area. With more than 550 practitioners, over 1,700 associates and approximately 200 community volunteers, we offer a full range of healthcare services.

Our system has locations in Ontario, Livingston, Monroe and Wayne counties and includes:

• The 113-bed F.F. Thompson Hospital

• 24-hour skilled nursing care at the M.M. Ewing Continuing Care Center, with an off-site medical adult day program

• Independent and enriched living apartments at Ferris Hills at West Lake and Clark Meadows

• Primary care services at 10 medical practices

• Family health and wellness services, including educational programs to promote healthy lifestyles

• The Sands Cancer Center, part of UR Medicine's Wilmot Cancer Institute

• A full range of rehabilitative services

• Eight lab draw stations

• A comprehensive breast imaging center

• Two urgent care centers

F.F. Thompson Hospital has designation from the American Nurses Credentialing Center as a Magnet® hospital and from the state as a Stroke Center. Quality designations from the Joint Commission include Certificates of Distinction in Knee Replacement and Hip Replacement, Orthopedic Rehabilitation Certification and Advanced Perinatal Certification. Thompson was also the first hospital in New York to be named a Center of Excellence in Hernia Surgery™ by the Surgical Review Corporation (SRC).

Thompson Health was named one of Becker Hospital Review's Top 150 Places to Work in Healthcare in 2015, 2016, 2017 and 2018. Also in 2018, the health system received “LGBTQ Healthcare Equality Leader” designation from the Human Rights Campaign Foundation (HRC), which previously recognized the health system four times since 2014.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Canandaigua, New York
Year Founded
1904
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