Remote Credentialing Specialist — Flexible Hours & Compliance

Voluntary Protection Programs Participants' Association, Inc.; Atlanta (GA); Hybrid; USD 48,000 - 68,000; Full time

Job summary

The Voluntary Protection Programs Participants' Association, Inc. is seeking a Credentialing Specialist in a Finance department role.

This non-exempt position supports credentialing, re-credentialing, and data management, ensuring compliance with accrediting and regulatory agencies. Responsibilities include coordinating with third-party payors, maintaining fee schedules, updating licensure policies, providing timely credentialing data, and negotiating insurance contracts to support clinic

Qualifications

• High school education required.
• Medical practice experience, surgical practice experience preferred.
• Excellent verbal and written communication skills.
• Efficiency and organizational skills.
• Administrative skills.
• Computer literacy and adaptability to new technology.

Responsibilities

• Serves as company liaison with 3rd party payors.
• Manages update to date information regarding fee schedules.
• Manages and updates credentialingclinic licensure policies and protocols.
• Ensures reports on credentialing status of providers is up to date and accurate.
• Defines and implements processes to ensure credentialing is completed and up to date in a timely manner.
• Manages process of negotiating new insurance contracts.
• Ensures all clinic information is accurate within 3rd party payor directory.
• Drives and implement seamless protocols for gathering credentialing data from health care providers.

Skills

Verbal communication

Written communication

Organizational skills

Administrative skills

Computer literacy

Education

High School

Job description

The Voluntary Protection Programs Participants' Association, Inc. is seeking a Credentialing Specialist in a Finance department role.

This non-exempt position supports credentialing, re-credentialing, and data management, ensuring compliance with accrediting and regulatory agencies. Responsibilities include coordinating with third-party payors, maintaining fee schedules, updating licensure policies, providing timely credentialing data, and negotiating insurance contracts to support clinic