Credentialing Specialist

Spectrum Billing Solutions•Skokie, IL

39d•Hybrid

About The Position

Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding position where you can work with industry experts and actively grow in your career, this position is for you. The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills. This is a remote or hybrid in-office/remote role.

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.