Natural Med Doc Hiring for Part Time Insurance Credentialing for Florida & Arizona at Remote Full Time

Are you detail-oriented, organized, and passionate about ensuring smooth and efficient insurance credentialing processes? If so, we have an exciting opportunity for you to join our team as a part time Insurance Credentialing Specialist.

Job Description:

As an Insurance Credentialing Specialist, you will play a crucial role in ensuring our healthcare organization’s providers can participate in insurance networks and receive timely reimbursements for their services. You will be responsible for managing the credentialing and re-credentialing processes for our providers, maintaining accurate and up-to-date information in our credentialing databases, and ensuring compliance with all relevant regulations and guidelines.

Responsibilities:

Credentialing and Re-Credentialing: Coordinate the initial credentialing and re-credentialing processes for new and existing providers with insurance companies and government payers. Ensure all required documentation is collected and submitted accurately and promptly.

Database Management: Maintain detailed and up-to-date credentialing records in our internal database, ensuring accuracy and completeness of provider information.

Verification of Credentials: Verify the credentials of healthcare providers, including licenses, certifications, malpractice insurance, and other relevant information, to ensure compliance with insurance company requirements.

Communication: Liaise with insurance companies, government agencies, and internal departments to facilitate the credentialing process and resolve any issues that may arise.

Compliance: Stay updated with the latest industry regulations, guidelines, and requirements related to insurance credentialing and ensure our organization’s adherence to them.

Provider Enrollment: Manage the enrollment process with insurance companies to ensure providers are correctly set up in the billing system and able to bill for services rendered.

Problem Resolution: Address and resolve any credentialing-related issues, such as application denials or delays, with a focus on minimizing disruptions to provider reimbursement.

ing: Prepare regular s on the credentialing status of providers and share updates with management as needed.

Qualifications:

• Previous experience in insurance credentialing within a healthcare setting is highly desirable.
• Familiarity with insurance payer requirements, enrollment processes, and regulations is a plus.
• Strong organizational skills and attention to detail are essential for success in this role.
• Excellent communication and interpersonal skills to effectively interact with internal and external stakeholders.
• Ability to work independently and prioritize tasks efficiently in a fast-paced environment.
• Proficiency in using credentialing software or databases is preferred.

Join our dynamic team and make a positive impact on the quality of healthcare services we provide to our patients. We offer competitive compensation, benefits, and opportunities for professional growth.

To apply, please submit your resume and a cover letter detailing your experience in insurance credentialing and your passion for this field. We look forward to welcoming you to our team!

Job Type: Part-time

Pay: $20.00 – $28.00 per hour

Application Question(s):

• What is your past experience with insurance credentialing?
• Every state has different regulations for credentialing. You would be responsible currently for Arizona & Florida. How would you credential in both of these states? What steps would you take to ensure you are taking the right steps?
• This is a part-time remote position? Hours will vary based on needs. Expect 5 – 15 hours per week. We would need you to stay on top of your email inbox with important inquires and needs. Would this work for you?

Work Location: Remote