Credentialing Specialist

Responsibilities

• Complete enrollment/credentialing and re-credentialing applications
• Maintain a detailed log of all pending and completed work
• Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
• Maintenance of physician enrollment and CAQH profiles
• Documentation within enrollment database
• Coordinate signatures
• Payer processing and research
• Involves extensive phone work and internet.
• Research and resolve claim issues related to physician enrollment.
• Other tasks as needed.
• What it Takes to Join the Family:
• Experience in the medical billing field and/or healthcare provider relations
• Prior Enrollment or Credentialing experience is preferred.
• College degree or degree in process preferred.
• Proven customer service, client relations, and claims resolutions experience
• Professional demeanor with a self-starter attitude
• Ability to work independently as well as in a team environment.
• Proficiency in Microsoft Office Suite
• Strong written and verbal communication skills with customer service focused aptitude
• Detail-oriented individuals who are team players and highly self-motivated.
• Ability to multitask in fast paced environments.
• Strong reporting expertise with ability to provide status report and escalation where necessary.
• Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.
• Why Assembly?
• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.
• This is a full time, non-exempt position reporting to the Director of Provider Relations. The pay range for this position is $19.00-23.00/hr.
• Salary Range
• $19 - $23 USD

Benefits

Additional Information

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

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