Certified Credentialing Specialist - Work From Home

Remote, USA Full-time
ClinicMind , the nations leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time Credentialing Specialist. If youre excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers, diagnostic laboratories and medical facilities as preferred providers in health care networks. This entails the following tasks: Perform credentialing work: Collect all the required documentation for credentialing such as accreditation, membership and facility privileges (e.g., License, NPI letter). Assist providers with completing payer forms and ensure compliance with payers expectations Respond to providers inquiries as to credentialing process progress Alert client of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirements Maintain accurate and current client information using an online database Drive the implementation of the automated credentialing workflow management system: Provide requirements to software developers Review implementation QUALIFICATIONS 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 MUST HAVE : High comfort level working on Eastern Time Zone/US Shift Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB Originally posted on Himalayas
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