Credentialing Specialist

3 days ago


Birmingham AL USA, United States Brooksource Full time
Credentialing Specialist Opportunity at Brooksource

We are seeking a skilled Credentialing Specialist to join our team at Brooksource. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and integrity of provider credentials for our health insurance portfolio.

Key Responsibilities:

  • Perform quality reviews of enrollment applications to determine compliance with guidelines.
  • Assist personnel in other departments and providers in resolving claims payment problems by verifying provider file information.
  • Collaborate with Network Integrity to monitor and determine providers not in compliance with enrollment guidelines.

Requirements:

  • Credentialing experience preferred, but customer service or data entry experience is also welcomed.
  • Strong attention to detail and ability to ensure data integrity.
  • Excellent communication skills, both written and verbal.
  • Ability to work independently with minimal oversight.
  • Proficiency in Microsoft Outlook, Word, and Excel.

About Brooksource:

Brooksource is a reputable company committed to providing exceptional services to our clients. We offer a collaborative team environment and opportunities for career growth and development.



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