Credentialing Specialist

🕒 May 18

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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 the submission of provider enrollment applications for assigned states with complex regulations or high provider volume • Serve as the primary subject matter expert for credentialing and enrollment requirements in assigned state(s) • Maintain current knowledge of in-network and out-of-network enrollment processes • Partner with Account Coordinators to validate provider data and documentation before initiating applications • Establish and maintain relationships with payor representatives to support communication and issue resolution • Prepare and submit provider enrollment documentation through payor portals and mailed submissions • Track application status and perform proactive follow-ups to drive timely approvals • Manage re-credentialing submissions and communicate upcoming client requirements to Account Management • Complete quarterly and other required payor attestations for ongoing compliance • Provide daily status reports to the Credentialing Coordinator • Maintain thorough documentation of submissions, follow-ups, and payor correspondence in internal tracking systems • Ensure data verification, submission timeliness, application accuracy, proactive communication, and denial rates below 1%

🎯 Requirements

• At least 2 years in college • Two years of experience in US-based medical billing practice, or two years in a medical practice dealing with billing • Experience may include provider credentialing, authorizations, reimbursement, or related billing functions • Experience in Behavioral Health is preferred 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 • Must work the stated fixed night-shift schedule aligned with New York Time and Manila Time • Must have own computer and internet connection • As an independent contractor, candidates handle their own benefits and taxes

🏖️ Benefits

• Independent Contractor Perks • 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