Credentialing Specialist

🕒 May 18

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BruntWork

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2020

🤝 B2B

👥 B2C

B2B • B2C • Remote Work

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 both In-network and out-of-network enrollment processes. • Partner with Account Coordinators to validate provider data and documentation prior to initiating enrollment applications. • Establish and maintain productive working relationships with payor representatives in assigned states to support clear communication and timely issue resolution. • Prepare and submit provider enrollment documentation through appropriate channels, including payor portals and mailed submissions. • Track application status and perform proactive followups to drive timely approvals. • Manage re-credentialing submissions and communicate upcoming client requirements to Account Management. • Complete quarterly and other required payor attestations to ensure ongoing compliance. • Provide daily status reports to Credentialing Coordinator, including updates for personal workload and any Credentialing Representative I staff supporting assigned states. • Maintain thorough documentation of all submissions, followups, and payor correspondence within internal tracking systems.

🎯 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 but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree

🏖️ 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