Billing Solutions That Work
Credentialing Team Lead
Location
United States
Posted
3 days ago
Salary
0
Seniority
Senior
Job Description
Credentialing Team Lead
Spectrum Billing Solutions
• 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 • Research new state and payer information and guidelines • Serve as a go-to person for credentialing team • Assist with escalated credentialing matters • Meet or exceed required timeframes for provider communications, enrollments, and follow-ups • Maintain quality working relationships with internal and external customers
Job Requirements
- 3-5 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
- 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
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