Credentialing Specialist

🔥 0 minutes ago

🇦🇺 Australia – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Credentialing Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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BruntWork

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2020

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

BruntWork is a company that connects skilled professionals with remote job opportunities across various industries. Based on the principle of enabling individuals to work from home, BruntWork focuses on providing roles in customer support, web development, digital marketing, graphic design, and virtual assistance. The company primarily serves clients in Australia, the UK, the US, Canada, New Zealand, and beyond, while sourcing talent from regions including Southeast Asia, Latin America, and Eastern Europe.

📋 Description

• Lead provider enrollment application submissions for assigned states with complex regulations or high provider volume • Serve as the subject matter expert for credentialing and enrollment requirements in assigned states • Maintain current knowledge of in-network and out-of-network enrollment processes • Partner with Account Coordinators to validate provider data and documentation • Build relationships with payor representatives to resolve issues and support timely outcomes • Prepare and submit provider enrollment documentation through payor portals and mailed submissions • Track application status and conduct proactive followups • Manage re-credentialing submissions and communicate upcoming client requirements to Account Management • Complete quarterly and other required payor attestations • Provide daily status reports to the Credentialing Coordinator • Maintain documentation of submissions, followups, and payor correspondence in internal tracking systems • Meet performance measures including timely submissions, accurate applications, daily reporting, and denial rate below 1%

🎯 Requirements

• At least 2 years in college • Two years experience in US-based medical billing practice OR two years experience in a medical practice dealing with billing, including provider credentialing, authorizations, reimbursement, etc. • Preferably experience in Behavioral Health to some degree • Exceptional attention to detail and strong organizational skills • Critical thinking and problem-solving abilities in complex or ambiguous situations • Ability to work effectively in a fast-paced, deadline-driven environment • Clear and professional verbal and written communication skills • Strong reading comprehension and ability to interpret regulatory and procedural guidance • Professional yet assertive communication style when working with payors • Own computer and internet connection • Candidates handle their own benefits and taxes

🏖️ Benefits

• Permanent work from home • Immediate hiring • Steady freelance job • Profit sharing incentive • Paid time off • Holiday pay • Annual Performance and Raise Evaluation • Quarterly Perfect Attendance Incentive • HMO • BruntWork Loan Assistance