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Credentialing Specialist

unlimited holidays - extra holidays - extra parental leave - long remote period allowed

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

1-3 years credentialing experience, Knowledge of Insurance guidelines.

Key responsabilities:

Complete provider applications
Maintain client credentials accurately

Spectrum Billing Solutions

See more Spectrum Billing Solutions offers

Job description

Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.

We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding position where you can work with industry experts and actively grow in your career, this position is for you.

Are you looking for the ability to grow professionally? The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills.

Looking for flexibility? Work a hybrid remote/in-office role at our renovated offices in Skokie, IL or our team has the option to work 100% fully remote.

Your Responsibilities:

Complete provider credentialing and contract applications with third-party carriers and government health plans.
Review provider credentialing and contracting information to ensure completeness and accuracy.
Monitor applications and follow-up in a timely manner.
Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases, as applicable.
Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly.
Meet or exceed required timeframes for provider communications, enrollments, and follow-ups.
Maintain quality working relationships with internal and external customers.

What we offer you:

A close-knit team of talented and skilled individuals
Growth opportunities within the organization
Competitive salary
Healthcare benefits including medical, dental & vision, 401K
Flexible PTO

Qualifications:

1-3 years of experience in credentialing and contracting.
Knowledge of Commercial Insurance and Government Payor guidelines.
Ability to plan, organize, and complete work with competing priorities.
Takes accountability for personal productivity and quality of output.
Organized and detail-oriented with strong communication and problem-solving skills.