Credentialing Specialist

Aeroflow Health- Credentialing Specialist

Hybrid Opportunity - Asheville, NC Office

Salary: Starting at $46,000

The Credentialing Specialist plays an important role in ensuring continued services are available with payors by completing and submitting all necessary documentation in a timely fashion. The Credentialing Specialist reports to the Credentialing Manager & Paralegal and works closely with the Corporate Development, Compliance and Legal teams.

Primary Responsibilities

• Manages and processes all government (Medicaid) and commercial credentialing and revalidation applications for Aeroflow Inc. and its subsidiaries
• Proactively communicates with payors regarding credentialing status and requirements
• Maintains accurate and comprehensive data for credentialing responses
• Works interdepartmentally to support the Corporate Development department’s contracting and compliance
• efforts through credentialing
• Obtains and submits insurance certificates, surety bonds, accreditation certificates, etc.
• Creates and processes attestations, provider directory verifications, rosters
• Processes license renewals specific to provider enrollment
• Completes and submits CHOW information and other unique updates
• Maintains digital files and credentialing submissions
• Processes hard copy payor communications received in-office
• Maintains copies of in-office licenses and certificates
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance
• Maintain HIPAA/patient confidentiality
• Other job duties assigned

Required Qualifications

• Organized self-starter with superior project management skills
• Excellent logical reasoning and analytical ability
• Marked attention to detail
• Good written and oral communication skills
• Microsoft Office and Google Suite computer skills including word processing, spreadsheets, database, and presentation software
• Willingness to learn
• Demonstrated integrity and ethics, with the ability to maintain confidentiality of highly sensitive information
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies
• Compliance is a condition of employment and is considered an element of job performance
• Maintain HIPAA/patient confidentiality
• You might also have
• An administrative background
• Some knowledge of healthcare credentialing is highly desirable

What we look for

We are looking for a self-motivated individual who is excellent at prioritizing tasks and remaining organized and flexible while multitasking.

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award

If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.