Credentialing specialist vs chiropractic assistant/receptionist

Differences between credentialing specialist and chiropractic assistant/receptionist duties and responsibilities

Credentialing specialist example responsibilities.

• Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
• Manage and administer the programs CME accredit education programs/Conferences.
• Ensure enrollment and participation with all organization contract managed care plans and perform Medicaid/Medicare provider enrollment.
• Process and manage all requests and applications for CME certification and supervise activities relate to credentialing process.
• Perform spot claims audits to ensure CMS compliance with ICD-9, HCPCS, CPT, and other requirements.
• Maintain and track data for OPPE and FPPE according to hospital policy and regulatory requirements.
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Chiropractic assistant/receptionist example responsibilities.

• Manage sensitive HIPAA compliant medical charts and records.
• Manage Eaglesoft system thereby maximizing and balancing the calendar of appointments to drive practice revenue while maintaining optimal practice productivity.
• Call the different centers of MRI to schedule appointments for patients.
• Add new charges to system with CPT codes and appropriate billing amounts.
• Maintain a clean safe environment, following HIPAA and all other policies and procedures.
• Confirm all processes involving patient and office information to conform to being HIPPA complaint.
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