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