Credentialing Specialist | Work from Home  

Job Description:

• Gather required enrollment documents from new clients.
• Assist in completing enrollment forms.
• Maintain accurate and current client information using spreadsheets and/or online databases.
• Respond to general inquires as the in-house knowledge source on client’s enrollment particulars.
• Identify and report issues to appropriate departments and management leadership.
• Build and improve working relationships with insurance company enrollment staff.
• Maintain confidentiality of client information by adhering to strict, established regulations.
• Follow teams and/or client’s proper procedures, policies, and methodologies as instructed.
• Alert client of new regulations, expiring certificates, reapplications and deficiencies in enrollment requirements.
• Conduct presentations and engage in occasional client interactions, as needed.
• Follow team and/or client’s proper procedures, policies, and methodologies as instructed.
• Performs other related duties as necessary or assigned

Minimum Qualifications:

• Credentialing Experience in a BPO is preferred, but not required
• Understanding of and/or experience in the US Healthcare industry is preferred, but not required
• Adept in both spoken and written English
• Proficient in MS Word, MS Excel, Windows file navigation
• Detail-oriented
• Amenable to work graveyard or shifting schedules
• Able to Work From Home, must have a reliable internet connection