Credentialing Specialist

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $23 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Point Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

💼 Consulting

🛡️ Insurance

📣 Marketing

Consulting • Insurance • Marketing

Point Health is a healthcare company that specializes in providing treatment solutions for chronic pain management. They collaborate with top-rated physicians and clinics to offer next-day appointments, making it easier for patients to access care. By leveraging a multidisciplinary approach, Point Health aims to provide effective pain management strategies while ensuring a seamless experience for patients, including the option for insurance evaluations and minimal wait times.

📋 Description

• Coordinate credentialing and enrollment for new providers, medical sites, facilities, and services • Prepare and submit Medicare and other payer enrollment applications • Track licenses, credentials, privileges, insurance contracts, and expiration dates to prevent interruptions • Maintain accurate credentialing records and supporting documentation • Ensure compliance with regulatory, accreditation, and payer requirements • Communicate with providers, payers, and agencies regarding credentialing and enrollment needs • Follow established procedures and maintain confidentiality of sensitive information • Coordinate provider enrollment across multiple locations and states

🎯 Requirements

• High school diploma or GED • Previous administrative experience in a healthcare setting • Hands-on experience credentialing new clinicians and medical sites • Experience submitting Medicare applications • Experience managing credentialing for at least 10 clinicians and multiple sites across different states • Strong organizational, communication, and attention-to-detail skills • Proficiency in Microsoft Office • Knowledge of medical terminology • Preferred: Associate degree in healthcare administration, business, or a related field • Preferred: Experience with Zendesk • Preferred: Additional experience with payer enrollment and provider privileging

🏖️ Benefits

• Medical, dental, and vision insurance • Health Savings Account (HSA) and health management tools • 401(k) retirement plan • Paid time off and company-paid holidays • Life and AD&D insurance • Short- and long-term disability • Paid parental leave • Remote work stipend and travel reimbursement • Continuing education reimbursement • Emergency travel assistance and identity theft protection • Employee discounts and Bonusly rewards • DailyPay - Access your pay when you need it • Professional development and continuing education opportunities • Employee recognition programs

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