Remote Credentialing Specialist – Healthcare Contracts

Spectrum Billing Solutions; Skokie (IL); Hybrid; USD 42,000 - 66,000; Full time

Benefits offered by this job

Healthcare benefits including medical,

Dental & Vision coverage

401K

Flexible PTO

Growth opportunities

Job summary

Spectrum Billing Solutions is seeking a Credentialing Specialist to join our growing team. This role focuses on completing provider credentialing and contract applications with third-party carriers and government payors, while maintaining accurate records in CAQH and other databases.

The position offers a hybrid work arrangement, competitive salary, and benefits including healthcare, 401K, and flexible PTO.

Qualifications

• 1-3 years of credentialing and contracting experience.
• Experience in ABA or other behavioral healthcare preferred.
• Knowledge of Commercial Insurance and Government Payor guidelines.
• Ability to plan, organize, and complete work with competing priorities.
• Takes accountability for personal productivity and quality of output.
• Organized and detail-oriented with strong communication and problem-solving skills.

Responsibilities

• Complete provider credentialing and contract applications with third-party carriers and government health plans.
• Review provider credentialing and contracting information for completeness and accuracy.
• Monitor applications and follow-up in a timely manner.
• Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases.
• Create, update and track provider information in the internal credentialing system to ensure timely and correct credentials.
• Meet or exceed required timeframes for provider communications, enrollments, and follow-ups.
• Maintain quality working relationships with internal and external customers.

Skills

Credentialing

Contracting

Attention to detail

Communication skills

Tools

CAQH

Credentialing software

Job description

Spectrum Billing Solutions is seeking a Credentialing Specialist to join our growing team. This role focuses on completing provider credentialing and contract applications with third-party carriers and government payors, while maintaining accurate records in CAQH and other databases.

The position offers a hybrid work arrangement, competitive salary, and benefits including healthcare, 401K, and flexible PTO.