Spectrum Billing Solutions · 2 months ago
Credentialing Specialist
United States
Full-time
Remote
Entry, Mid Level
1+ years expSpectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers, and they are seeking to add a Credentialing Specialist to their growing team. The role involves completing provider credentialing and contract applications, ensuring accuracy, monitoring applications, and maintaining quality relationships with clients.
BillingFinanceFinancial Services
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
Qualification
Required
1-3 years of experience in credentialing and contracting
Knowledge of Commercial Insurance and Government Payor guidelines
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
Healthcare benefits including medical, dental & vision
401K
Flexible PTO
Company
Spectrum Billing Solutions
Spectrum Billing Solutions provides revenue cycle management services to healthcare providers.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase