Medical Credentialing Specialist

(MUST HAVE EXPERIENCE)

Licentiam, Inc is the top medical licensing and credentialing solution for healthcare professionals in the U.S 50 states and their territories.

Licentiam, Inc. is seeking a professional, reliable, detail-oriented, and highly organized individual to serve as a Medical Credentialing Specialist. This person will work under the supervision of the Director of Medical Affairs, assisting with the credentialing process.

Responsibilities

• Requesting and verifying documentation and information pertaining to provider credentials and certifications for licensure.
• Completing credential applications in a timely and efficient manner following the appropiate regulations and guidelines.
• Acting as a liaison between payers, medical boards, medical institutions, and providers.
• Obtaining updates on the status of applications and reporting progress.
• Providing matter expertise consultation and guidance to different providers and medical organizations.
• Presenting credentialing progress to the team lead.
• Supervising and delegating work to the licensing assistants.
• Providing training to new employees.
• Keeping up to date with changing laws and regulations that affect areas of work.

Requirements

• 2+ years of experience in the medical credentialing field.
• 1+ years of customer service experience
• CAQH management experience
• Medicare and Medicaid enrrollment experience (REQUIRED)
• Private Payers enrollment experience (REQUIRED)
• Hosipital affiliation enrollment exprience (prefered)
• Management skills
• Leadership experience
• Experience working with a variety of provider types- MD/DO/PA, Nurses, Allied Health Providers, and Behavioral Health.
• Proficient computer skills including word processing, spreadsheet, and database applications (specifically Microsoft Word, Excel, PowerPoint, Gmail, Google Drive, and Adobe Acrobat).
• Superior administrative and organizational skills.
• Excellent written and verbal communication skills.
• Thrives with on-the-job training and is not afraid to think outside of the box to address challenges in a rapidly growing business environment
• Ability to operate printers, copiers, and fax machines to file, photocopy, and scan documentation.

Licentiam, Inc. is an Equal Employment Opportunity Employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, nation origin, age, material status, sexual orientation, genetic information, disability, protected veteran status, or any other consideration made unlawful by applicable federal, state or local laws. The foundation of these policies is our commitment to treat everyone fairly and equally and to have a bias-free work environment.

Benefits as a full-time employee

• Health insurance
• Paid time off
• Bonus

Schedule:

• Monday to Friday

Work Location: Hybrid remote in Chester, NJ 07930

Experience:

• Medicare/Medicaid Enrollment: 1 year (Required)
• Insurance Enrollement: 1 year (Required)
• Medical Credential: 1 year (Required)
• Microsoft Office: 1 year (Required)

Job Type: Full-time

Expected hours: 8 per week

Benefits:

• Paid time off
• Work from home

Work Location: Remote