Certified Credentialing Specialist - Work From Home

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time Credentialing Specialist. If you’re 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 payer’s expectations
• Respond to provider’s 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

1. At least 2 years experience in US-based Credentialing process
2. Familiar with US medical insurance industry
3. Excellent listening, communication, and problem-solving skills
4. Self-motivated and able to work autonomously
5. Credentialing certification is required

MUST HAVE:

1. High comfort level working on Eastern Time Zone/US Shift
2. Good internet access at home
3. Mobile Hotspot
4. Laptop/Desktop of at least 8 GB