[Hiring] Credentialing Specialist @Spectrum Billing Solutions

Role Description

Spectrum Billing Solutions is seeking to add a Credentialing Specialist to our growing team. This is a remote or hybrid in-office/remote role.

• 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.
• Meet or exceed required timeframes for provider communications, enrollments, and follow-ups.
• Maintain quality working relationships with internal and external customers.

Qualifications

• 1-3 years of experience in credentialing and contracting.
• Experience in ABA or other behavioral healthcare preferred.
• Knowledge of Commercial Insurance and Government Payor guidelines.
• Ability to plan, organize, and complete work with competing priorities.
• Takes accountability for personal productivity and quality of output.
• Organized and detail-oriented with strong communication and problem-solving skills.

Requirements

• RCM Analyst
• Revenue Cycle Credentialing Specialist
• Insurance Specialist
• Revenue Cycle Contracting Specialist
• Medical Billing Specialist
• Revenue Cycle AR Collections Specialist
• Billing and Reimbursement Specialist
• Billing Specialist
• Billing Coordinator
• Claims Specialist
• Billing Representative
• Collections Specialist
• ABA Billing Specialist
• ABA Claims Specialist
• Behavioral Health Billing Specialist

Benefits

• 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