Remote Credentialing Specialist - Medical Contracts & Payors

Caravel Autism Health, LLC; Wisconsin; Remote; USD 25,000 - 28,000; Full time

Job summary

Caravel Autism Health, LLC is seeking a Credentialing Specialist for remote work in Green Bay, WI. The role oversees credentialing activities and initial contract analysis, coordinating with providers and payors to ensure timely, accurate submissions.

The position emphasizes collaboration across departments, process improvements, and maintaining strong payer relationships, with a focus on accuracy and efficiency in credentialing tasks.

Qualifications

• Bachelor’s degree in healthcare or business or equivalent experience.
• Certification is a plus.
• Three years of medical insurance, billing or claims experience, preferably in a supervisory capacity.

Responsibilities

• Oversee all credentialing activities, including completion and submission of applications.
• Follow up with providers and payors on incomplete items.
• Add new locations to existing contracts with payors.
• Review new payor contracts and suggest changes.
• Serve as a credentialing resource for providers.

Skills

Medical billing

ICD-10

CPT coding

HIPAA privacy

Interpersonal skills

Leadership/mentoring

Communication

Education

Bachelor’s degree in healthcare or business

Certification is a plus

Job description

Caravel Autism Health, LLC is seeking a Credentialing Specialist for remote work in Green Bay, WI. The role oversees credentialing activities and initial contract analysis, coordinating with providers and payors to ensure timely, accurate submissions.

The position emphasizes collaboration across departments, process improvements, and maintaining strong payer relationships, with a focus on accuracy and efficiency in credentialing tasks.