Urgent Role: Customer Service Advocate (Remote)

ImageNetLLC

3d•Remote

About The Position

Healthcare Customer Service Advocate | Provider Credentialing Position Summary: The Healthcare Customer Service Advocate – Provider Credentialing manages the end-to-end credentialing process for healthcare providers and practices. This includes preparing, submitting, and tracking applications, maintaining accurate documentation, and coordinating with providers and payers to ensure all requirements are completed. The role is responsible for monitoring accounts and ensuring timely and compliant credentialing from start to finish.

Requirements

Associate degree or equivalent experience preferred
Must have call center/BPO experience with at least 2 years in healthcare , specifically in Provider Credentialing
With basic credentialing knowledge and familiarity with industry standards
Strong understanding of healthcare concepts , including terminologies, eligibility and benefits, medical/dental claims, and policy process flow
Proficient in Adobe PDF, MS Office applications , and internet tools
Excellent analytical, organizational, and time management skills with strong attention to detail
Effective communication and interpersonal skills , with the ability to coordinate with internal and external stakeholders
Highly adaptable, detail-oriented, and capable of multi-tasking and prioritizing in a fast-paced environment
Demonstrates professionalism, discretion, patience, and flexibility when handling tasks and interactions
Requires a stable primary internet connection of at least 50Mbps
Reliable backup connection to ensure continuity of remote work. Speed test required during interview.
Ability to directly hardwire to your modem
Quiet, dedicated work area.

Responsibilities

Monitor all documents and data exchanged within the Credentialing database in order to ensure quality of services, and accurate completion of Credentialing forms and processes.
Coordinate with Providers to insure that proper enrollment ensues based on individual Payer requirements.
Organize, label and file Credentialing forms, applications and documents.
Document all Credentialing packages prior to transmitting them to Payer .
Coordinate with the Payer to ensure that all Credentialing requirements are met.
Train clients (Providers/Office Staff) how to use all features of the Credentialing application services
Submit Credentialing forms and applications to Payers as needed.
Complies with all Federal, State, accreditation and institutional policies and procedures.
Consistently meets company and department policies and expectations including those surrounding attendance
Exhibits exceptional internal and external customer service with all persons with whom you work
Maintains confidentiality at all times .
Observe security responsibilities including, but not limited to: Utilize appropriate communication channels for the movement of data . If using email, use the secure email option . If in FTP, utilize SFTP or encryption of the data before sending . Send messaging via application to utilized TLS protocols. Use minimum data necessary to identify transactions. Claim ID, Claim File Upload ID, ERA Trace Number/Check ID . Only when those identities are not enough for the recipient to find the transaction, then use the minimum PHI needed to identify the transaction. Security is everyone’s job. Look out for, and report, anything that is suspicious or just doesn’t seem correct
Other duties as assigned
Coordinate and monitor management of Credentialing data and documents .
Communicate with other departments (Sales/Support) when a Provider is approved.

Benefits

Competitive Pay + 13th Month Salary
Comprehensive HMO Coverage (Medical & Dental)
Equipment Provided – Everything you need to succeed
Career Growth – Be part of a dynamic and supportive team that values your expertise
Immediate Hiring – Start ASAP and make an impact from day one

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