What are the responsibilities and job description for the Certified Credentialing Specialist - Work From Home position at ClinicMind?
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
- At least 2 years experience in US-based Credentialing process
- Familiar with US medical insurance industry
- Excellent listening, communication, and problem-solving skills
- Self-motivated and able to work autonomously
- Credentialing certification is required
MUST HAVE:
- High comfort level working on Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop of at least 8 GB
