Credentialing Specialist

The Credentialing Specialist is responsible for all credentialing activities and initial analysis of new contracts. 

 Essential Functions:

Non-Essential Functions/Other Duties:

1.   Performs other duties as assigned 

Supervisory Responsibility:  

Leads, coaches, and mentors Billing & Authorization Staff.   

Travel Required:  Occasional travel may be required.  

Physical Demands:

This is largely a sedentary role, with frequent sitting and computer keyboarding required.  Employee will be required to sit, talk, hear, type and write.  Occasional bending, squatting, stooping, and lifting (up to 35 pounds) are required.  

Qualifications:

Education:  

• At least a Bachelor’s Degree in a healthcare or business related discipline, or equivalent experience 


• Certification is a plus

Experience:

• At least three years of medical insurance, billing or claims experience, preferably in a supervisory capacity


• Previous management level experience preferred
   

Skills and Competencies:

• Knowledge of medical billing and ICD-10, and CPT coding, as well as knowledge of financial concepts                                      


• Strategic focus, with the ability to identify and execute on key business strategies that will support attainment of overall organizational business objectives


• Ability to effectively lead, coach, manage, mentor and develop others, holding staff accountable as appropriate


• Excellent interpersonal skills, with the ability to communicate effectively with others


• Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere  


• Displays professionalism and represents organization in a professional manner


• Strong knowledge of HIPPA privacy and security rules and regulations

attached

Caravel Pay Details:

·        $18.18 to $20.00

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. At Caravel we provide competitive wages with excellent benefits, including medical and dental insurance, employer-matched 401(k), paid time-off, paid travel, short-term disability and more. 

Important: Credentialing Specialist is a Full Time remote/work from home

opportunity, and we are open to candidates in the Spokane, WA OR Green Bay, WI areas