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 Team Lead 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. The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills.
This is a remote or hybrid in-office/remote role.
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.
Research new state and payer information and guidelines.
Serve as a go-to person for credentialing team.
Assist with escalated credentialing matters.
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:- 3-5 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
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Spectrum Billing Solutions provides industry-leading revenue cycle management services for healthcare providers. The company leverages deep industry knowledge, advanced technology, and extensive experience to optimize and streamline revenue cycle operations for healthcare clients. They specialize in provider credentialing, contracting, and revenue cycle management across commercial insurance and government health plans. The company works with multiple payers, carriers, and databases such as CAQH to ensure efficient credential management and enrollment processes.
