Summary
Spectrum Billing Solutions is seeking a Credentialing Specialist to join their growing team. The ideal candidate will have 1-3 years of experience in credentialing and contracting, knowledge of Commercial Insurance and Government Payor guidelines, and strong communication and problem-solving skills. The position offers a competitive salary, healthcare benefits, flexible PTO, and growth opportunities within the organization.
Requirements
- 1-3 years of experience in credentialing and contracting
- Knowledge of Commercial Insurance and Government Payor guidelines
Responsibilities
- Complete provider credentialing and contract applications with third-party carriers and government health plans
- Review provider credentialing and contracting information to ensure 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, as applicable
- Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly
- Meet or exceed required timeframes for provider communications, enrollments, and follow-ups
- Maintain quality working relationships with internal and external customers
Preferred Qualifications
- 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
Benefits
- A close-knit team of talented and skilled individuals
- Growth opportunities within the organization
- Competitive salary
- Healthcare benefits including medical, dental & vision, 401K
- Flexible PTO
