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Credentialing Specialist at Evoraa Healthcare

Peachtree City, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Sep, 26

Salary

0.0

Posted On

16 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Enrollment, Medical Coding, CPT, ICD-10, Behavioral Health Credentialing, CRM Management, Insurance Communication, Regulatory Compliance

Industry

Health and Human Services

Description

Description Position Summary: Compass Revenue Solutions is a rapidly growing revenue cycle management company in the Atlanta area. We are currently seeking a credentialing specialist to help support our revenue team. The best candidate will have experience with credentialing and medical coding in the behavioral health field. This position could be remote for the right candidate, depending on experience and knowledge. Credentialing Responsibilities: Completes provider enrollment and re-enrollment applications with payors in a timely manner consistent with timeline objectives Monitors applications and follows-up as needed to resolve issues, discrepancies, and obtain information from providers, payors, or other contacts Reviews provider enrollment applications and verifies accuracy and completeness of submitted Communicates with insurance companies to follow up on the status of applications Maintains up-to-date knowledge of regulations and policies related to provider enrollment Maintains current and accurate credentialing data for providers Provide updates weekly to providers and management summarizing details of correspondence with insurance companies. Maintain company CRM Credentialing dashboard for updates and accuracy. Requirements Minimum Qualifications: Minimum of 5 years' experience in provider credentialing Working knowledge of medical coding such as CPT and ICD-10 Minimum of 5 years' experience in the behavioral health field Benefits Include: Medical, Dental, Vision, Life Employee Assistance Program 401k Match Paid-Time Off Sick Time Holiday Pay

Responsibilities

The specialist is responsible for completing provider enrollment and re-enrollment applications with payors while monitoring status and resolving discrepancies. They must maintain accurate credentialing data and provide weekly updates to management and providers via the company CRM.