Spectrum Billing Solutions is a Revenue Cycle Management company for healthcare organizations. We are looking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding position where you can work with industry experts and actively grow in your career, this position is for you. The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills.

This is a remote or office/home hybrid position.

Responsibilities:

• Complete provider credentialing and contract applications with third-party carriers and government health plans.
• Review provider credentialing and contracting information to ensure completeness and accuracy.
• Monitor applications and follow-up in a timely manner.
• Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases, as applicable.
• Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly.
• Maintain contact logs documenting requests for credentialing information in designated systems.
• Meet or exceed all deadline requirements for provider communications, enrollments, and follow-ups.
• Report to management any unresolved issues or missing information that is creating a delay in processing.
• Receive and respond to client inquiries via phone and email.
• Establish and preserve quality working relationships with internal and external customers, utilizing excellent customer service skills to solidify relationships.
• Communicate carrier updates and changes in policies as emerging and ascertained.

Qualifications:

• 1-3 years of experience in credentialing and contracting.
• Knowledge of Commercial Insurance and Government Payor guidelines.
• Ability to multi-task, accessing multiple databases and sites at the same time.
• Ability to work within deadlines and facilitate workflow with minimal supervision.
• Ability to plan, organize, and complete work with competing priorities.
• Takes accountability for personal productivity and quality of output.
• Organized and detail oriented.
• Superior communication, problem solving and follow-up skills.
• Maintains excellent communication with direct supervisor, routinely advising of credentialing and contracting statuses.

At Spectrum, you receive:

• A close-knit team of talented and skilled individuals
• Growth opportunities within the organization
• Competitive salary
• Healthcare benefits including medical, dental & vision, 401K
• Flexible PTO