Credentialing Specialist

Credentialing Specialist

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.

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