Operant Billing Solutions is searching for a Credentialing Specialist to join our team!
We are a Medical Billing Company specializing in ABA Therapy offering work from home opportunities with great benefits
We have Part-Time and Full-Time positions available
The primary role of the Credentialing Specialist is to manage the daily workflow of credentialing and re-credentialing applications with proficiency, accuracy and timeliness. This role participates in all aspects of initial credentialing, re-credentialing and ongoing monitoring for our clients/practitioners.
Duties & Responsibilities:
- The Credentialing Specialist is responsible for the creation of provider credential applications with insurance companies.
- Work with providers to obtain needed provider data for enrollment.
- Website enrollments, i.e. CAQH, NPPES
- Comply with policies and procedures such that provider data is handled in a strictly confidential manner.
- Other duties as assigned.
- Qualifications:
Education
- High School diploma or equivalent required.
- Associate's degree (health care or related field) or an equivalent combination of education and experience preferred.
- Experience
- 1-3 years’ work experience with Claims and/or Provider Data analysis required.
- Previous experience in a healthcare/insurance setting required. Experience with Managed Care or Commercial health insurance, Provider Data Services, Provider Network Administration preferred.
Job Type: Full-time
Pay: $21.00 - $24.00 per hour
Expected hours: 35 – 40 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
- Remote
Work Location: Remote