Remote Credentialing Specialist — Provider & Contracts

Eye Consultants of Atlanta PC; United States; Ibrido; USD 50.000 - 70.000; Tempo pieno

Descrizione del lavoro

Eye Consultants of Atlanta PC is seeking a Credentialing Specialist to manage credentialing, re-credentialing, and data management with a focus on accuracy and compliance. The role supports primary source verification and regulatory adherence.

The position allows flexible work from home with a 32–40 hour workweek, enabling a balance between administrative duties and healthcare operations within the Finance department.

Competenze

• 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.

Mansioni

• Serves as liaison with 3rd party payors.
• Updates fee schedules and credentialing data.
• Updates credentialing & clinic licensure policies and protocols.
• Ensures credentialing reports are up to date and accurate.
• Defines and implements timely credentialing processes.
• Negotiates new insurance contracts.
• Ensures clinic information is accurate within payor directories.
• Drives protocols for gathering credentialing data from providers.

Conoscenze

Verbal and written communication

Organization skills

Administrative skills

Computers / tech adaptability

Formazione

High school education required

Descrizione del lavoro

Eye Consultants of Atlanta PC is seeking a Credentialing Specialist to manage credentialing, re-credentialing, and data management with a focus on accuracy and compliance. The role supports primary source verification and regulatory adherence.

The position allows flexible work from home with a 32–40 hour workweek, enabling a balance between administrative duties and healthcare operations within the Finance department.