Credentialing Specialist

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Assembly Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

Healthcare Insurance • Finance • SaaS

Assembly Health is dedicated to elevating financial performance for healthcare providers through innovative revenue cycle management and back-office solutions. Their expert team and technology optimize processes, allowing healthcare organizations to focus on delivering quality patient care. With a comprehensive approach that includes analytics, compliance consulting, and staffing services, Assembly Health serves a wide array of physician specialties and long-term care communities across the United States.

📋 Description

• Complete enrollment/credentialing and re-credentialing applications • Maintain a detailed log of all pending and completed work • Communicate the results and status of the applications to physicians, payers, managers, and co-workers. • Maintenance of physician enrollment and CAQH profiles • Documentation within enrollment database • Coordinate signatures • Payer processing and research • Involves extensive phone work and internet. • Research and resolve claim issues related to physician enrollment. • Other tasks as needed.

🎯 Requirements

• Experience in the medical billing field and/or healthcare provider relations • Prior Enrollment or Credentialing experience is preferred. • College degree or degree in process preferred. • Proven customer service, client relations, and claims resolutions experience • Professional demeanor with a self-starter attitude • Ability to work independently as well as in a team environment. • Proficiency in Microsoft Office Suite • Strong written and verbal communication skills with customer service focused aptitude • Detail-oriented individuals who are team players and highly self-motivated. • Ability to multitask in fast paced environments. • Strong reporting expertise with ability to provide status report and escalation where necessary. • Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family. • Ability to function well in a fast-paced and at times stressful environment. • Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

🏖️ Benefits

• Competitive Benefit Packages available • Paid Holidays • Paid Time Off to enjoy your time away from the office.