Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding position where you can work with industry experts and actively grow in your career, this position is for you. The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills.
This is a remote or hybrid in-office/remote role.
Your 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.
What we offer you:
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
Qualifications:
1-3 years of experience in credentialing and contracting.
Experience in ABA or other behavioral healthcare preferred.
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.
RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing Specialist | Revenue Cycle AR Collections Specialist | Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist
#RCMAnalyst | #RevenueCycleCredentialingSpecialist | #InsuranceSpecialist | #RevenueCycleContractingSpecialist | #MedicalBillingSpecialist | #RevenueCycleARCollectionsSpecialist | #BillingandReimbursement Specialist | #BillingSpecialist | #BillingCoordinator | #ClaimsSpecialist | #BillingRepresentative | #CollectionsSpecialist | #ABABillingSpecialist | #ABAClaimsSpecialist | #BehavioralHealthBillingSpecialist | #ABACollectionsSpecialist
Powered by JazzHR
...Pension Systems Business Analyst ~202605062~Minneapolis, Minnesota, United States~Philadelphia, Pennsylvania, United States~Dallas, Texas, United States~Tampa, Florida, United States~San Diego, California, United States~Chicago, Illinois, United States...
...progress. This role is ideal for a licensed Special Education teacher who values structure, data-driven instruction, collaboration,... ...emotional learning instruction into daily academic lessons. Utilize online instructional platforms including Courseware, EXACT Path, and...
...Your New RoleThe Producer at CNN en Espaol is a top-tier journalist and innovative content leader with exceptional rundown-building skills, ensuring top news is prioritized and each shows editorial flow is sharp, dynamic, and audience-driven. This role demands advanced...
...getting back to you? Not here! We have a speedy hiring process from the first phone call to your official start date! The Window Cleaning General Laborer is responsible for managing daily work order completion, Jobsite quality control, and fulfilling the needs of our...
...Digital Marketing Manager Full-Time | Exempt | Remote - Eastern or Central Time Zone Candidates Only Help Transform Education Through Data-Driven Marketing At Instructional Empowerment , our mission is bold: to end generational poverty and eliminate achievement...