Demo

Credentialing Specialist

Spectrum Billing Solutions
Skokie, IL Full Time
POSTED ON 8/25/2024 CLOSED ON 9/23/2024

What are the responsibilities and job description for the Credentialing Specialist position at Spectrum Billing Solutions?

Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.

We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding position where you can work with industry experts and actively grow in your career, this position is for you.

Are you looking for the ability to grow professionally? The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills.

Looking for flexibility? Work a hybrid remote/in-office role at our renovated offices in Skokie, IL or our team has the option to work 100% fully remote.

Your Responsibilities:

  • Complete provider credentialing and contract applications with third-party carriers and government health plans
  • Review provider credentialing and contracting information to ensure completeness and accuracy
  • Monitor applications and follow-up in a timely manner
  • Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases, as applicable
  • Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly
  • Meet or exceed required timeframes for provider communications, enrollments, and follow-ups
  • Maintain quality working relationships with internal and external customers

What we offer you:

  • A close-knit team of talented and skilled individuals
  • Growth opportunities within the organization
  • Competitive salary
  • Healthcare benefits including medical, dental & vision, 401K
  • Flexible PTO

Qualifications:

  • 1-3 years of experience in credentialing and contracting.
  • Knowledge of Commercial Insurance and Government Payor guidelines
  • Ability to plan, organize, and complete work with competing priorities
  • Takes accountability for personal productivity and quality of output
  • Organized and detail-oriented with strong communication and problem-solving skills

RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing Specialist | Revenue Cycle AR Collections Specialist | Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist

#RCMAnalyst | #RevenueCycleCredentialingSpecialist | #InsuranceSpecialist | #RevenueCycleContractingSpecialist | #MedicalBillingSpecialist | #RevenueCycleARCollectionsSpecialist | #BillingandReimbursement Specialist | #BillingSpecialist | #BillingCoordinator | #ClaimsSpecialist | #BillingRepresentative | #CollectionsSpecialist | #ABABillingSpecialist | #ABAClaimsSpecialist | #BehavioralHealthBillingSpecialist | #ABACollectionsSpecialist

Powered by JazzHR

iXo4Pb388R
Credentialing Specialist
Relief Mental Health -
Brook, IL

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Credentialing Specialist?

Sign up to receive alerts about other jobs on the Credentialing Specialist career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$45,655 - $57,431
Income Estimation: 
$52,651 - $65,671
Income Estimation: 
$45,655 - $57,431
Income Estimation: 
$52,651 - $65,671

Sign up to receive alerts about other jobs with skills like those required for the Credentialing Specialist.

Click the checkbox next to the jobs that you are interested in.

  • Billing Skill

    • Income Estimation: $34,805 - $44,238
    • Income Estimation: $41,041 - $51,724
  • Customer Complaint Resolution Skill

    • Income Estimation: $28,339 - $36,572
    • Income Estimation: $28,992 - $36,310
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Not the job you're looking for? Here are some other Credentialing Specialist jobs in the Skokie, IL area that may be a better fit.

Credentialing Specialist

USA Vein Clinics, Vascular, Fibroid and Oncology Centers, Northbrook, IL

AI Assistant is available now!

Feel free to start your new journey!