Credentialing Specialist

Overview:

This position operates on an Eastern time zone schedule.

Position Summary

Responsible for performing all tasks related to the credentialing, filing, updates and follow up for CPa Medical Billing.

Pay: $19.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Work Location: Remote

Responsibilities:

• Complete credentialing and/or re-credentialing applications for physicians and ancillary providers with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner
• Complete, update and maintain Council for Affordable Quality Healthcare (CAQH) profiles for providers
• Ensure credentialing data needed for enrollment, contracting, and other related purposes is on file.
• Maintain provider credentialing files electronically
• Maintain credentialing software with current information
• Reach out to insurance carriers regarding any outstanding items/applications
• Resolve issues related to provider participation
• Respond to various inquiries from participating physicians, staff, hospitals, and managed care companies timely and with professionalism
• Maintain a strict level of confidentiality for all matters pertaining to provider credentials
• Communicate client/enrollment issues to management at an early stage
• Must be able to work on various projects as assigned by Credentialing Manager
• Other duties as assigned

Qualifications:

A successful candidate will have the following:

• Outstanding customer service, interpersonal and written skills.
• The ability to work independently, as well as, in a team setting
• Exceptional organization and time management skills to manage priorities and deadlines
• Strong attention to detail and quality
• Proficiency with Microsoft Office Suite (Word,Outlook); Excel preferred