Remote Credentialing Specialist - Payor Contracts

Caravel Autism Health, LLC; Green Bay (WI); Remote; USD 25,000 - 28,000; Full time

Job summary

Caravel Autism Health, LLC is seeking a Credentialing Specialist in Green Bay, WI (remote). The role oversees all credentialing activities, handles applications, and follows up with providers and payors on incomplete items to keep contracts current.

You will review new payor contracts, coordinate with departments, and support process improvements while ensuring accuracy and timeliness. A Bachelor's degree in healthcare or business and 3+ years of medical insurance experience are required.

Qualifications

• Bachelor’s degree in a healthcare or business-related discipline, or equivalent experience.
• Certification is a plus.

Responsibilities

• Oversee credentialing activities and submission of applications.
• Follow up with providers and payors on incomplete items to ensure timely processing.
• Work with payors to add new locations to existing contracts and maintain relationships.

Skills

Medical billing

ICD-10/CPT coding

HIPAA knowledge

Leadership

Interpersonal skills

Communication

Independent & team

Education

Bachelor's degree

Certification preferred

Job description

Caravel Autism Health, LLC is seeking a Credentialing Specialist in Green Bay, WI (remote). The role oversees all credentialing activities, handles applications, and follows up with providers and payors on incomplete items to keep contracts current.

You will review new payor contracts, coordinate with departments, and support process improvements while ensuring accuracy and timeliness. A Bachelor's degree in healthcare or business and 3+ years of medical insurance experience are required.