Credentialing Specialist

Credentialing Specialist

Remote

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

What You Will Do:

• Complete enrollment/credentialing and re-credentialing applications
• Maintain a detailed log of all pending and completed work
• Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
• Maintenance of physician enrollment and CAQH profiles
• Documentation within enrollment database
• Coordinate signatures
• Payer processing and research
• Involves extensive phone work and internet.
• Research and resolve claim issues related to physician enrollment.
• Other tasks as needed.

What It Takes to Join the Family:

• Experience in the medical billing field and/or healthcare provider relations
• Prior Enrollment or Credentialing experience is preferred.
• College degree or degree in process preferred.
• Proven customer service, client relations, and claims resolutions experience
• Professional demeanor with a self-starter attitude
• Ability to work independently as well as in a team environment.
• Proficiency in Microsoft Office Suite
• Strong written and verbal communication skills with customer service focused aptitude
• Detail-oriented individuals who are team players and highly self-motivated.
• Ability to multitask in fast paced environments.
• Strong reporting expertise with ability to provide status report and escalation where necessary.
• Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

Why Assembly?

• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

This is a full time, non-exempt position reporting to the Director of Provider Relations. The pay range for this position is $19.00-23.00/hr.

Salary Range

$19 - $23 USD

Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.