Credentialing Specialist
Choice Healthcare Services
•Remote
About The Position
The Credentialing Specialist will conduct all aspects of credentialing doctors and contracting facilities with different insurance payors. This position is 100% remote, and the company provides equipment and ongoing support. Candidates residing in the Pacific and Mountain time zones are preferred. The pay range is $23.00-$26.00/hour, based on experience. CHOICE is the largest provider of pediatric dental care in the Southwest United States, committed to delivering high-quality care to children in its communities.
Requirements
- High school diploma or equivalent
- Experience with Microsoft Word and Excel preferred
- Minimum of 1 -2 years business office experience in a health care environment.
- Demonstrate in-depth knowledge and experience in the following technology solutions – practice management system, scanning, and internet-based insurance websites.
- Detail oriented, organized, and take initiative with good follow through required.
- Ability to maintain detailed records
- Excellent customer service and communication, both verbally and in writing
- Ability to communicate and work with doctors and payors to get facilities contracted and doctors credentialed
Nice To Haves
- Prior credentialing and contracting follow-up experience preferred.
Responsibilities
- Enroll and revalidate doctors and facilities with payors
- Process applications for licensing, permits, certifications, insurances, and relevant credentialing documents
- Reviews incoming insurance correspondence and mail and maintain and update credentialing spreadsheets accordingly
- Verify doctors’ status for employment
- Reports issues and trends to appropriate management personnel in Central Billing Office (CBO) and works collaboratively to develop solutions
- Consistently demonstrates a positive and professional attitude at work
- Maintains stable performance under pressure and handles stress in ways to maintain relationships with doctors, payors, and co-workers
- Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations
- Maintains satisfactory attendance and punctuality record
- Provides supportive assistance to internal and external people regarding credentialing concerns/issues
- Answers incoming calls from payors and offices and returns calls, addressing questions or concerns in a professional and ethical manner
- Responsible for other relevant work functions, as requested
Benefits
- Care for your wellbeing and work-life balance
- Professional and personal growth
- Experienced leadership support
- Fun and supportive team dynamic with events and celebrations
- Comprehensive benefit package
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
