Remote Credentialing Specialist — Provider & Contracting

Eye Consultants of Atlanta PC

Atlanta (GA)

Remote

USD 28,000 - 39,000

Full time

6 days ago
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Job summary

Eye Consultants of Atlanta PC is seeking a Credentialing Specialist for the Finance department. The role supports credentialing, re-credentialing, data management, and delegated contract processes with oversight of applications and primary source verification.

This position offers flexibility to work from home with 32 to 40 hours per week, and requires strong communication, organization, and computer skills to ensure compliance with accrediting and regulatory guidelines.

Qualifications

  • Excellent verbal and written communication skills.
  • Efficient and well-organized.
  • 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 credentialing & clinic 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

Communication skills
Organizational skills
Administrative skills
Computer literacy
Verbal and written communication
Attention to detail

Education

High school education

Job description

Eye Consultants of Atlanta PC is seeking a Credentialing Specialist for the Finance department. The role supports credentialing, re-credentialing, data management, and delegated contract processes with oversight of applications and primary source verification.

This position offers flexibility to work from home with 32 to 40 hours per week, and requires strong communication, organization, and computer skills to ensure compliance with accrediting and regulatory guidelines.

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