Credentialing Specialist

Become an Assembler! We are looking for a Provider Relations Representative to join our Physician RCM division. If you are looking for a company that is focused on being the best in the industry, 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.

This is a full-time, non-exempt position reporting to our Director of Provider Relations.

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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.
• Strong reporting expertise with ability to provide status report and escalation where necessary.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

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

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