Credentialing Specialist

Summary

Join Spectrum Billing Solutions, a leader in healthcare revenue cycle management, and become our new Credentialing Specialist! This remote or hybrid role offers a rewarding experience working with industry experts and ample growth opportunities. You will be responsible for managing provider credentialing and contracts with various payers, ensuring accuracy and timely completion. The position requires strong organizational and communication skills, along with 1-3 years of experience in credentialing and contracting. We offer a close-knit team, competitive salary, healthcare benefits (medical, dental, vision, 401K), and flexible PTO.

Requirements

• 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

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

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