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Credentialing Specialist

Remote: 
Full Remote
Contract: 
Experience: 
Junior (1-2 years)
Work from: 

Offer summary

Qualifications:

Experience in medical billing or healthcare relations, Prior enrollment or credentialing experience preferred, College degree or degree in process preferred, Proficiency in Microsoft Office Suite, Strong written and verbal communication skills.

Key responsabilities:

  • Complete enrollment/credentialing applications
  • Maintain logs of pending and completed work
  • Communicate results and status of applications
  • Research and resolve claim issues related to enrollment
  • Coordinate signatures and maintain CAQH profiles
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Assembly Health
201 - 500 Employees
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Job description

Affiliated Professional Services is looking for creative and motivated problem solvers who will prepare and submit enrollment applications, maintain active physician credentials, and follow upon the status of applications for physicians and payers. Your efforts will help APS meet our objectives of partnering with providers and long-term care facilities nationwide for technology and provider services. If you are looking for a company that is focused on being the best in the industry and love being challenged and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

What you'll do

  • Complete enrollment/credentialing and re-credentialing applications.
  • Maintain a detailed log of all pending and completed work.
  • Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
  • Maintenance of physician enrollment and CAQH profiles.
  • Documentation within enrollment database.
  • Coordinate signatures
  • Payer processing and research.
  • Involves extensive phone work and internet.
  • Research and resolve claim issues related to physician enrollment.

What we're looking for

  • Experience in the medical billing field and/or healthcare provider relations.
  • Prior Enrollment or Credentialing experience is preferred.
  • College degree or degree in process preferred.
  • Proven customer service, client relations, and claims resolutions experience.
  • Professional demeanor with a self-starter attitude.
  • Ability to work independently as well as in a team environment.
  • Proficiency in Microsoft Office Suite.
  • Strong written and verbal communication skills with customer service focused aptitude.
  • Detail-oriented individuals who are team players and highly self-motivated.
  • Ability to multitask in fast paced environments.
  • Strong reporting expertise with ability to provide status report and escalation where necessary.
  • APS requires employees working from home, or otherwise remote, maintain broadband internet access at the address where remote work is being performed. APS will require a valid speed test report. If you are unable to meet these requirements, please discuss with your recruiter.

Why join the team?

  • We pay you for your initiative! Competitive compensation.
  • Be part of something special-we are in high growth mode through organic growth and acquisition
  • Robust ongoing training and development programs
  • Competitive Benefit Packages available, Paid Holidays, and Paid Time off to enjoy your time away from the office.
  • This position is 100% remote

Required profile

Experience

Level of experience: Junior (1-2 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Detail Oriented
  • Professionalism
  • Multitasking
  • Self-Motivation
  • Microsoft Office
  • Customer Service
  • Non-Verbal Communication
  • Problem Solving
  • Teamwork

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