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CDPHP Credentialing Specialist in Clifton Park, New York

CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

CDPHP and its family of companies include subsidiaries Acuitas Health LLC, Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.

Strategic Solutions Management Consultants (SSMC) is a full-service medical billing and practice management firm offering a comprehensive, sophisticated approach to private practice physicians, and physician and hospital networks. Strategic Solutions expertise goes beyond traditional transactional billing. Their team of consultants, coders, and billers provide critical insights for their providers.

The Credentialing Specialist is responsible for ensuring licensed practitioners are credentialed as needed with Medicare, Medicaid and commercial insurance companies for Professional Services.

Qualifications:

  • Must be detail-oriented with strong organizational skills.

  • Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.

  • Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.

  • Demonstrated ability to work with and maintain confidential information.

  • Excellent verbal and written communication skills.

  • Flexibility to adapt to a changing and fast-paced environment.

  • Minimum one (1) year of credentialing experience preferred.

  • Knowledge of medical terminology preferred.

  • Knowledge of medical billing and/or collections preferred.

  • Experience with Microsoft Office, including Outlook, Word and Excel required.

  • High School Diploma or GED required.

As an Equal Opportunity / Affirmative Action Employer, CDPHP does not discriminate in employment practices on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

CDPHP and its family of companies include subsidiaries Acuitas Health LLC, Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.

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