Alliance Service, Inc. (Healthcare staffing)
Credentialing Specialist - REMOTE
Alliance Service, Inc. (Healthcare staffing), Queen Creek, Arizona, United States, 85142
This is a remote position,
applicants must reside/legally authorized to work in the United States.
Est. Hourly Pay: $29.11 -$38.26
Job type: Full-time/Part-time Location: Fully Remote This position is responsible for meeting the requirements for credentialing as defined in our clients policies and procedures. Works closely with the Credentialing Supervisor in the credentialing process.
The Credentialing Specialist will be responsible for all aspects of the credentialing, recredentialing and privileging processes for all medical providers who provide patient care, clinics, and facilities. In this role, the Credentialing Specialist will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities and maintain up-to-date data for each provider in credentialing databases and online systems; including:
Initial and reappointment of hospital privileges.
Processing initial credentialing and re-credentialing applications
Primary - Essential Expectations for Success
:
Responsible for implementation and oversight of all activities related to payer enrollment for providers.
Responsible for development of payer enrollment policies and procedures.
Maintains knowledge of facility and payer credentialing requirements.
Prepares reports from credentialing database and provides communication regarding credentialing status
Coordinates and manages the dissemination to health plans and other payers.
Other tasks / projects as assigned by leadership.
Primary Focused Work
:
PECOS/Medicare Enrollments
Engage with Physician Clients
Provider Licensing
Preferred CPCS Certification
Maintaining / Updating Provider Profiles CAQH/NPPES
Facility Enrollment
Multistate Payer Enrollment all Payers
Trends / tracking and maintaining database
Skills Needed to Be Successful
:
Maintains compliance with regulations and laws applicable to job
Professional level communication expectations with video, phone and email
Ability to effectively prioritize the work to meet deadlines and expectations
Meets the quality and productivity measures
Brings positive energy to the work
Uses critical thinking skills
Being present at work and reducing distractions
Being a self-starter
Incredible attention to detail
Core Talent Essentials
:
High School diploma or equivalent
2+ years previous experience in healthcare revenue cycle management
Proven experience credentialing directly with Medicare, Medicaid, Commercial health plans and other private insurance companies to increase revenue
Ability to work independently and within a team atmosphere
Self-motivated and passionate about our mission and values of quality work
Must have professional level skills in MS products such as Excel, Word, Power Point.
Must be able to type proficiently and with an effective pace
Proficient application of business/office standard processes and technical applications
Physical Environment:
Prolonged periods of sitting at a desk and working from a computer
Must be able to lift 15 pounds at one time
Must be able to structure your home office to ensure patient information is secure, meeting the regulatory expectations
What’s in it for you?
$2,000 Sign-On Bonus!
UNCAPPED
monthly commission!
VERY generous ramp-up period with supplemental income!
Full Benefits Package – Beginning on first day of employment!
Medical, Dental, Vision, and Life Insurance
Vacation, Sick Time, Personal days, and PAID Holidays
401k eligible after 30 days with excellent company match
Discounted services!
We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
We offer uncapped commission incentives, leaving earning opportunities limitless! If you're ready to embark on a rewarding journey with us and make a meaningful impact in the healthcare sector, we encourage you to apply!
recblid uaj86e7u8q0eddncqbcxz3craccsjz
applicants must reside/legally authorized to work in the United States.
Est. Hourly Pay: $29.11 -$38.26
Job type: Full-time/Part-time Location: Fully Remote This position is responsible for meeting the requirements for credentialing as defined in our clients policies and procedures. Works closely with the Credentialing Supervisor in the credentialing process.
The Credentialing Specialist will be responsible for all aspects of the credentialing, recredentialing and privileging processes for all medical providers who provide patient care, clinics, and facilities. In this role, the Credentialing Specialist will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities and maintain up-to-date data for each provider in credentialing databases and online systems; including:
Initial and reappointment of hospital privileges.
Processing initial credentialing and re-credentialing applications
Primary - Essential Expectations for Success
:
Responsible for implementation and oversight of all activities related to payer enrollment for providers.
Responsible for development of payer enrollment policies and procedures.
Maintains knowledge of facility and payer credentialing requirements.
Prepares reports from credentialing database and provides communication regarding credentialing status
Coordinates and manages the dissemination to health plans and other payers.
Other tasks / projects as assigned by leadership.
Primary Focused Work
:
PECOS/Medicare Enrollments
Engage with Physician Clients
Provider Licensing
Preferred CPCS Certification
Maintaining / Updating Provider Profiles CAQH/NPPES
Facility Enrollment
Multistate Payer Enrollment all Payers
Trends / tracking and maintaining database
Skills Needed to Be Successful
:
Maintains compliance with regulations and laws applicable to job
Professional level communication expectations with video, phone and email
Ability to effectively prioritize the work to meet deadlines and expectations
Meets the quality and productivity measures
Brings positive energy to the work
Uses critical thinking skills
Being present at work and reducing distractions
Being a self-starter
Incredible attention to detail
Core Talent Essentials
:
High School diploma or equivalent
2+ years previous experience in healthcare revenue cycle management
Proven experience credentialing directly with Medicare, Medicaid, Commercial health plans and other private insurance companies to increase revenue
Ability to work independently and within a team atmosphere
Self-motivated and passionate about our mission and values of quality work
Must have professional level skills in MS products such as Excel, Word, Power Point.
Must be able to type proficiently and with an effective pace
Proficient application of business/office standard processes and technical applications
Physical Environment:
Prolonged periods of sitting at a desk and working from a computer
Must be able to lift 15 pounds at one time
Must be able to structure your home office to ensure patient information is secure, meeting the regulatory expectations
What’s in it for you?
$2,000 Sign-On Bonus!
UNCAPPED
monthly commission!
VERY generous ramp-up period with supplemental income!
Full Benefits Package – Beginning on first day of employment!
Medical, Dental, Vision, and Life Insurance
Vacation, Sick Time, Personal days, and PAID Holidays
401k eligible after 30 days with excellent company match
Discounted services!
We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
We offer uncapped commission incentives, leaving earning opportunities limitless! If you're ready to embark on a rewarding journey with us and make a meaningful impact in the healthcare sector, we encourage you to apply!
recblid uaj86e7u8q0eddncqbcxz3craccsjz