Provider Credentialing Specialist Remote

AccentCare, Inc.; Brasil; Híbrido; BRL 80.000 - 120.000; Tempo integral

Resumo da oferta

A leading healthcare organization in Brazil is seeking a Credentialing Specialist to ensure the integrity of credentialing files and manage provider applications. Responsibilities include processing contract payments and collaborating with billing departments. The ideal candidate has an Associate's Degree, 2+ years of relevant experience, and strong organizational skills. This position offers a competitive salary up to $26.00/hr and flexible remote work options.

Serviços

Comprehensive benefits including medical, dental, and vision coverage

Career advancement opportunities

Professional development offerings

Qualificações

• Minimum 2+ years of relevant credentialing experience within healthcare.
• Experience with Medicaid/Medicare PECOS enrollment.
• Ability to manage multiple priorities.

Responsabilidades

• Ensure credentialing files are complete and current.
• Process contract payments transitioning manual processes to automated systems.
• Collaborate closely with Billing and Authorizations to resolve credentialing issues.

Conhecimentos

Organizational skills

Data analysis

Interpersonal skills

Formação académica

Associate's Degree

Ferramentas

Credentialing databases

Availity

Descrição da oferta de emprego

Employer Industry: Corporate Healthcare

Why consider this job opportunity:

• Salary up to $26.00/hr based on experience
• Opportunity for career advancement and growth within the organization
• Flexible remote work option available
• Comprehensive benefits including medical, dental, and vision coverage
• Professional development opportunities and wellness offerings
• A supportive and collaborative work environment recognized as one of America's Greatest Workplaces 2025

What to Expect (Job Responsibilities):

• Ensure credentialing files are complete and current by managing new and re-credentialing applications for medical providers with health plans
• Process contract payments and manage the allocation of group payments, transitioning manual processes to automated systems
• Maintain an internal provider grid to ensure accurate and accessible information
• Collaborate closely with Billing and Authorizations Departments to resolve credentialing-related issues
• Update and maintain provider profiles on various databases, ensuring timely renewal of licenses and certifications

What is Required (Qualifications):

• Associate's Degree
• Minimum 2+ years of relevant credentialing experience within healthcare
• Experience with Medicaid/Medicare PECOS enrollment
• Strong organizational skills with the ability to manage multiple priorities
• Ability to research and analyze data effectively

How to Stand Out (Preferred Qualifications):

• Experience with Availity
• Excellent interpersonal skills to establish effective working relationships with providers and staff
• Familiarity with credentialing databases and online systems

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