Credentialing Specialist

2 days ago


Angola, United States Creative Financial Staffing Full time
About Us

Creative Financial Staffing is a leading provider of top-notch credentialing services for healthcare providers. Our mission is to ensure seamless enrollment and certification with Medicare, Medicaid, and commercial health insurance providers.

Responsibilities
  • Contract Negotiation Expertise: Provide valuable information and advice for insurance contract negotiations, ensuring optimal terms and conditions.
  • Enrollment Management: Manage enrollment processes with Medicare, Medicaid, and commercial health insurance providers, ensuring timely and accurate submissions.
  • Compliance and Certification: Monitor and follow up with insurers to ensure continuous certification and compliance with state and federal regulations.
  • Record Keeping and Compliance: Maintain up-to-date records in compliance with state and federal regulations, ensuring accurate and timely reporting.
  • Communication and Collaboration: Communicate effectively with healthcare providers, insurance companies, and regulatory agencies, ensuring seamless coordination and resolution of issues.
Qualifications
  • Educational Background: Bachelor's degree in a related field or equivalent experience.
  • Experience: Minimum of 2 years of experience in credentialing or medical administration.
  • Attention to Detail: Strong attention to detail and organizational skills, ensuring accuracy and efficiency in all tasks.
  • Communication and Interpersonal Skills: Excellent communication and interpersonal skills, ensuring effective collaboration with stakeholders.
  • Technical Proficiency: Proficiency in MS Office and credentialing software, ensuring seamless integration with existing systems.
Why Work with Us
  • Dynamic and Supportive Environment: Be part of a fun, energetic team where your contributions are valued and celebrated.
  • Professional Growth and Development: Enjoy opportunities for learning and development in a supportive setting, ensuring your skills and expertise continue to grow.
  • Impactful Work: Play a crucial role in the healthcare industry by ensuring providers are credentialed efficiently, making a real difference in the lives of patients and healthcare professionals.