Credentialing Coordinator - REMOTE

Talentify.io; United States; Remote; USD 50,000 - 75,000; Full time

Job summary

A leading dermatology practice seeks credentialing specialists for a fully remote role. The position involves reviewing and managing credentialing requests for healthcare professionals, ensuring compliance with Medicare and insurance providers. Ideal candidates will have extensive experience in credentialing with strong organizational and communication skills.

Benefits

Flexible work arrangements

Opportunity for career advancement

Qualifications

• Minimum of 3 years of experience with credentialing medical practices.
• Proficiency in Microsoft Excel, Outlook, and Word.
• Familiarity with CAQH and updating CAQH profiles.

Responsibilities

• Complete credentialing requests for various practitioners across multiple states.
• Manage a tracking system for credentialing assignments.
• Maintain comprehensive files related to practitioner credentialing.

Skills

Communication

Organizational Skills

Problem Solving

Customer Service

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Employer Industry: Dermatology Practice

Why consider this job opportunity:
- Fully remote position, allowing for flexible work arrangements.
- Opportunity for career advancement and potential transition to a full-time permanent role.
- Work in a dynamic environment with a supportive team focused on the success of partner dermatologists.
- Engage in meaningful work that supports the credentialing process for healthcare professionals.
- Gain valuable experience in credentialing with Medicare and commercial insurance providers.

What to Expect (Job Responsibilities):
- Complete credentialing requests for Medicare, private insurance, and hospital credentialing for various physicians and mid-level practitioners across multiple states.
- Manage a detailed tracking system for both completed and pending credentialing assignments.
- Maintain comprehensive files related to practitioner credentialing and licensing, documenting all communication throughout the enrollment process.
- Manage provider contracts, analyzing rates and terms while keeping track of effective and expiration dates.
- Respond to requests for credentialing data and prepare periodic status reports for internal and external stakeholders.

What is Required (Qualifications):
- Minimum of 3 years of active experience with credentialing medical practices and/or physicians with Medicare and commercial insurance providers.
- Proficient in Microsoft Excel, Outlook, and Word.
- Familiarity with CAQH and experience in updating CAQH profiles.
- Strong written and verbal communication, interpersonal, and customer service skills.
- Excellent organizational, time management, and problem-solving abilities.

How to Stand Out (Preferred Qualifications):
- Previous experience in medical billing.
- Demonstrated ability to work independently as well as part of a team.
- Detail-oriented with a strong sense of urgency.

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