Credentialing Specialist - Remote

Overview

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

In Short

• Complete credentialing and/or re-credentialing applications for physicians and ancillary providers.
• Update and maintain CAQH profiles for providers.
• Ensure credentialing data is on file for enrollment and contracting.
• Maintain provider credentialing files electronically.
• Reach out to insurance carriers regarding outstanding items.
• Resolve issues related to provider participation.
• Respond to inquiries from physicians and managed care companies.
• Maintain confidentiality for all matters pertaining to provider credentials.
• Communicate client/enrollment issues to management.
• Work on various projects as assigned by Credentialing Manager.

Requirements

• Experience in credentialing and medical billing.
• Strong communication skills.
• Ability to maintain confidentiality.
• Detail-oriented and organized.
• Proficient in using credentialing software.

Benefits

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