What are the responsibilities and job description for the Credentialing Specialist position at Gateway Medical Solutions?
Join Our Growing Team! Now Hiring: Credentialing Specialist
Are you looking to take the next step in your career with a fast-growing company? We’re looking for a Credentialing Specialist to help us ensure our providers are properly credentialed with insurance organizations. If you’re detail-oriented, organized, and have a passion for problem-solving, we want you on our team!
Why You'll Love Working With Us:
- Starting Pay: $14/hour — Negotiable based on experience and education.
- Training Provided! No prior experience in credentialing? No problem! We’ll equip you with all the tools and knowledge you need to succeed.
- Flexibility: Enjoy a M-F 8:30 AM - 5:00 PM schedule with flexible hours to suit your needs.
- Career Growth: This is your chance to gain valuable experience and advance your skills in the credentialing and healthcare industry.
- Free CPB Certification Course (valued at $7,200) — Taught by two AAPC-certified instructors, this course is offered once a year, on-site, at no cost to you!
- Bonus: If you choose to take the national exam after the course, we’ll reimburse the test fee and give you a raise!
What You'll Be Doing:
- Requesting demographic and legal documents for new providers.
- Creating and maintaining CAQH profiles for new providers and managing existing ones.
- Handling credentialing inquiries from insurance organizations and resolving any issues.
- Updating provider addresses when they move or add new locations.
- Completing insurance revalidations as needed.
- Tracking and managing all communications with insurance representatives and ensuring accurate records are kept.
- Communicating changes in network status (e.g., mergers or payer changes) and making sure providers’ network status remains intact.
What We’re Looking For:
- Knowledge of NPPES, CAQH, and insurance systems is essential.
- Strong communication skills, both written and verbal.
- Excellent organizational skills and attention to detail.
- Tech-savvy with proficiency in web navigation and Microsoft Excel/Office.
- A team player who thrives in a fast-paced, dynamic environment.
Additional Information:
- No remote positions available.
- Office hours: Monday - Friday, 8:30 AM to 5:00 PM.
Job Type: Full-time
Pay: From $14.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Salary : $14