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Credentialing Specialist
Assembly HealthCredentialing Specialist coordinating physician enrollment and re-credentialing applications for Assembly Health. Maintaining detailed logs, documentation, and communication with various stakeholders in a remote capacity.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Competitive Benefit Packages available
- Paid Holidays
- Paid Time Off to enjoy your time away from the office.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Enrollment ApplicationsCredentialing ApplicationsPayer ProcessingClaims ResearchDocumentation ManagementStatus ReportingDatabase Management
Soft Skills
Strong Communication SkillsDetail-OrientedSelf-MotivatedTeam PlayerAbility To Multitask