Credentialing Specialist
Job Details: - Job Location: Remote - Employee Location - Fife, WA - Position Type: Full Time - Salary Range: $3500.00 - $4500.00Salary/month We are seeking a highly motivated and detail-oriented Credentialing Specialist to support the accurate and timely credentialing and recredentialing of healthcare providers with insurance networks. This role involves working with clients directly in ensuring compliance, maintaining accurate documentation, and coordinating with insurance networks and other credentialing entities to ensure our providers are credentialed and contracted. Benefits: - Medical ($0 Premium!), Dental, and Vision Benefits - Fitness Fund Reimbursement Program for gym memberships and massages - Matching 401(K) program with 100% match - Generous Paid Time Off program; 8 Paid Holidays - HQ On-site amenities include Gym, Massage, Pickle Ball court, Chiropractor and Naturopath at Fife, WA HQ - Annual Portfolio Bonus Key Responsibilities: - Credentialing and Recredentialing Support: - Preparing, submitting, and tracking provider enrollment applications for insurance networks and credentialing organizations. - Ensure the accuracy and completeness of provider credentialing documentation, including licenses, certifications, and malpractice. - Monitor and update credentialing timelines, ensuring compliance with deadlines and payer requirements. - Compliance and Documentation: - Maintain organized credentialing records and ensure accurate data entry in credentialing software or databases. - Assist in audits of credentialing files to verify compliance with HIPAA and other regulatory requirements. - Communication and Coordination: - Act as a liaison between the clients and the insurance payers. - Follow up with providers and payers to gather required information or clarify discrepancies. - Communicate updates on credentialing processes and progress to the Senior Credentialing Specialist and management. - Administrative Support: - Provide support during high-volume credentialing periods, including managing overflow tasks as assigned by the Senior Credentialing Specialist. -