job description
Are you an experienced medical billing professional looking for a remote career opportunity with a global team? BruntWork is seeking a highly organized and detail-oriented Credentialing Specialist to join our expanding healthcare operations department. In this role, you will play a critical part in ensuring our medical providers are successfully enrolled with insurance payors, maintaining compliance, and facilitating seamless revenue cycle operations.
You will own the end-to-end provider enrollment process, working directly within various payor portals to ensure all documentation is accurate, up-to-date, and processed in a timely manner. The ideal candidate thrives in a remote, fast-paced environment and possesses a deep understanding of US healthcare credentialing requirements.
Responsibility
- Manage the end-to-end provider enrollment and re-credentialing process for multiple medical practices.
- Navigate and utilize diverse payor portals to submit applications and track status updates.
- Maintain and update provider profiles in CAQH and other relevant credentialing databases.
- Coordinate with insurance carriers to resolve rejections or pending enrollment issues promptly.
- Conduct regular audits of provider documentation to ensure 100% compliance with industry standards.
- Maintain confidential provider records and internal tracking logs with high precision.
- Collaborate with internal billing teams to resolve payor-specific credentialing bottlenecks.
Qualifications
- Minimum of 2+ years of dedicated experience in US medical billing or provider credentialing.
- Solid understanding of the US healthcare insurance landscape and payor enrollment lifecycles.
- Proven ability to manage high-volume administrative tasks with high accuracy and minimal supervision.
- Advanced proficiency with CAQH, PECOS, and various commercial payor enrollment portals.
- Exceptional verbal and written communication skills in English.
- Strong problem-solving skills and the ability to navigate complex administrative workflows.
- Reliable home-office setup with high-speed internet capability for a work-from-home (WFH) role.