Remote Credentialing Specialist

Summary

Spectrum Billing Solutions is seeking a Credentialing Specialist to join their growing team. The ideal candidate will have 1-3 years of experience in credentialing and contracting, knowledge of Commercial Insurance and Government Payor guidelines, and strong communication and problem-solving skills. The position offers a competitive salary, healthcare benefits, flexible PTO, and growth opportunities within the organization.

Requirements

• 1-3 years of experience in credentialing and contracting
• Knowledge of Commercial Insurance and Government Payor guidelines

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

Preferred Qualifications

• 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

Benefits

• 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