Job description

Position Overview: Must have credentialstream experience**

The Credentialing Specialist is responsible for the provider enrollment, updating process according to guidelines.

Essential Functions:

• Thorough knowledge and proficiency in all aspects of provider enrollment in a professional healthcare practice setting.
• Understanding of the credentialing processes as it relates to medical billing including electronic remittances, service locations and other details that could impact reimbursement.
• Primary source verification for resolving issues concerning the provider’s enrollment with insurance companies.
• Ensures timely completion of credentialing and re-credentialing of providers for all insurance carriers.
• Thorough knowledge and effectiveness in insurance portals including CAQH.
• Obtains appropriate credentials as well as updated copies prior to the expiration date of any license, certification, or other required documentation.
• Acts as liaison with Practitioners, billing management and insurance carriers.
• Maintains internal files including copies of current credentials and load/scan all documents into the credentialing database.
• Other assigned tasks/duties

Professional experience:

• 5+ years of applicable experience in credentialing and enrollment. Multi-specialty experience is a big plus.
• Excellent written and verbal communication skills with superior attention to detail.
• Ability to multi-task under tight timelines with strong administrative and exceptional organizational skills.
• Proficient in Microsoft Office Suite; Word, Excel, PowerPoint, and Outlook.
• Advanced knowledge credentialing databases or CredentialStream**

Work environment:

• A standard business environment exists with moderate noise levels.
• Ability to lift and move approximately thirty (30) pounds on a non-routine basis.·
• Ability to sit for extended periods of time.
• Long periods of computer usage
• Handling – seizing, holding, grasping and fingering of objects, tools and controls
• Vision – close vision
• Hearing- ability to receive detailed information through oral and telephonic communication

About Us:

CaduceusHealth has partnered with athenahealth, offering fully outsourced clinical and revenue cycle solutions to large healthcare networks. Jersey City, New Jersey-based CaduceusHealth, has over 200 employees in 38 states, supporting over 4,500 providers in 400 medical practices on the athenahealth platform. “We bring clarity and efficiency to healthcare business operations to heighten the value of the provider and patient healthcare experiences,” said James Bonomo, CEO of CaduceusHealth.

CaduceusHealth offers a competitive compensation and benefits package, including health and dental, vision, 401K plan, generous PTO, and business casual dress.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Do you have credentialstream experience?

Work Location: Remote

johnandkristie.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, johnandkristie.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, johnandkristie.com is the ideal place to find your next job.