Credentialing Specialist

PRM Management Company LLC•West Palm Beach, FL

3d•$24 - $28•Remote

About The Position

Pelvic Rehabilitation Medicine (PRM), a physician-led specialty health care organization focused on evidence-based treatment for chronic pelvic pain, is seeking a detail-oriented and highly organized Credentialing Specialist. This is a remote opportunity for candidates residing in the United States, within the Operations department. The role reviews and processes provider privilege applications, analyzes credentialing files for completeness and accuracy, responds to provider inquiries, and administers re-credentialing for Physicians and CRNAs while complying with HIPAA regulations. The specialist must manage stringent deadlines and succeed in a fast-paced, high-volume environment. The role may also assist with special projects and process redesign initiatives. The listed salary is $55,000–$60,000 annually.

Requirements

High school diploma required.
At least 2 years of experience in provider credentialing.
Previous experience with provider credentialing or enrollment software.
Proficiency in the Microsoft Office suite.
Highly effective communication skills and ability to engage multiple stakeholders across different organizations.
Ability to work well under pressure in a fast-paced, high-volume environment.
Strong problem-solving, critical-thinking, and analytical skills.
Candidates must reside in the United States.

Nice To Haves

Bachelor’s degree preferred.

Responsibilities

Review and process applications for provider privileges.
Follow up and follow through to meet stringent deadlines.
Review and analyze provider credentialing files for completeness, accuracy, issues, and changes.
Respond to provider inquiries received by letter, phone, or internal departments.
Administer re-credentialing for Physicians and CRNAs.
Comply with HIPAA regulations.
Assist with special projects and process redesign initiatives as requested.