
Healthcare Credentialing Expert
17 hours ago
Are you a detail-oriented and organized individual looking to kickstart your career in healthcare? ClinicMind is seeking a skilled Credentialing Specialist to join our team. As a key player in the Electronic Healthcare Records (EHR) software industry, we pride ourselves on delivering exceptional services to our clients.
Job DescriptionThe successful candidate will be responsible for handling credentialing needs for our US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks. This entails collecting all required documentation for credentialing, assisting providers with completing payer forms, and ensuring compliance with payer expectations.
- Credentialing Responsibilities:
- Collect required documentation for credentialing such as accreditation, membership, and facility privileges.
- Assist providers with completing payer forms and ensure compliance with payer expectations.
- Respond to provider inquiries regarding credentialing process progress.
- Alert clients of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.
- Client Information Management:
- Maintain accurate and current client information using an online database.
- Automated Credentialing Workflow Management System:
- Provide requirements to software developers.
- Review implementation.
- At least 2 years experience in US-based Credentialing process.
- Familiar with US medical insurance industry.
- Excellent listening, communication, and problem-solving skills.
- Self-motivated and able to work autonomously.
- Credentialing certification is required.
- High comfort level working on Eastern Time Zone/US Shift.
- Good internet access at home.
- Mobile Hotspot.
- Laptop/Desktop of at least 8 GB RAM.
By joining our team, you'll have the opportunity to make a meaningful impact in the healthcare industry while growing professionally in a dynamic environment. If you're passionate about credentialing and possess excellent organizational skills, we encourage you to apply for this exciting role.
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