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Certified Credentialing Specialist - Work From Home

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

At least 2 years of experience in the US-based credentialing process., Familiarity with the US medical insurance industry is essential., Excellent listening, communication, and problem-solving skills are required., Credentialing certification is mandatory. .

Key responsabilities:

  • Handle credentialing needs for US-based healthcare providers and facilities.
  • Collect required documentation for credentialing and assist providers with payer forms.
  • Maintain accurate client information using an online database and respond to inquiries about the credentialing process.
  • Drive the implementation of the automated credentialing workflow management system.

ClinicMind logo
ClinicMind Information Technology & Services SME https://www.clinicmind.com/
201 - 500 Employees
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Job description

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time Credentialing Specialist. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

 

RESPONSIBILITIES

 

Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers, diagnostic laboratories and medical facilities as preferred providers in health care networks. This entails the following tasks:

  • Perform credentialing work:
    • Collect all the required documentation for credentialing such as accreditation, membership and facility privileges (e.g., License, NPI letter).
    • Assist providers with completing payer forms and ensure compliance with payer’s expectations
    • Respond to provider’s inquiries as to credentialing process progress
    • Alert client of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirements
  • Maintain accurate and current client information using an online database
  • Drive the implementation of the automated credentialing workflow management system:
    • Provide requirements to software developers
    • Review implementation 

 

QUALIFICATIONS

  1. At least 2 years experience in US-based Credentialing process
  2. Familiar with US medical insurance industry 
  3. Excellent listening, communication, and problem-solving skills
  4. Self-motivated and able to work autonomously
  5. Credentialing certification is required

 

MUST HAVE:

  1. High comfort level working on Eastern Time Zone/US Shift
  2. Good internet access at home
  3. Mobile Hotspot
  4. Laptop/Desktop of at least 8 GB

Required profile

Experience

Industry :
Information Technology & Services
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Self-Motivation
  • Communication
  • Problem Solving

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