Credentialing Specialist

Position Summary:

The ideal Credentialing Specialist has excellent time management skills, communication skills, and an ability to learn on the go in a fast-paced environment.

Candidates must be self-motivated and have excellent attention to detail.

Our Credentialing Team is growing to match the demand in the industry for help enrolling Optometrists with various insurance companies across the country.

Responsibilities:

• Maintaining Credentialing for Billing Clients
• Updating Addresses for Billing Clients
• Credentialing Projects from new and existing Optometric Practices, nationwide

Performance Requirements:

• Must be dependable, well-organized team player, have professional phone manner and excellent computer skills
• Must be able to learn quickly
• Must be able to make phone calls to insurance companies to find out processes for adding doctors to their networks
• Computer and Internet Expertise Required
• Excellent time management and organizational skills required
• Knowledge of Microsoft Office Products (Word, Excel, Outlook)
• Excellent communication skills to effectively interact with clients and internal teams
• Strong customer service skills with a focus on building and maintaining client relationships
• Attention to Detail a must!
• Knowledge of basic office functions
• Ability to understand and follow verbal and written instructions
• Ability to learn and follow established policies and procedures
• Ability to interact effectively and courteously with carriers, clients and co-workers
• Ability to prioritize tasks and manage time efficiently

Secondary Responsibilities

• Setup and Maintenance of Electronic Data Interchange on our Clearinghouse
• Processing Incoming Mail / Faxes
• Performs other duties as assigned

CAQH ProView, Trizetto EDI and Credentialing experience preferred but not required

Job Types: Full-time, Part-time

Pay: $18.00 - $20.00 per hour

Expected hours: 30.0 – 36.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Paid time off
• Vision insurance

Ability to Commute:

• Lakeville, MA 02347 (Required)

Work Location: In person