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Credentialing Team Lead

Spectrum Billing SolutionsSkokie, IL

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Overview

Schedule
Full-time
Career level
Director
Remote
Hybrid remote
Benefits
Health Insurance
Dental Insurance
Vision Insurance

Job Description

Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Team Lead to our growing team. If you are looking for a rewarding position where you can work with industry experts and actively grow in your career, this position is for you. The ideal candidate is passionate, motivated, detail-oriented and interested in gaining knowledge and new skills.This is a remote or hybrid in-office/remote role.Your Responsibilities:

  • Complete provider credentialing and contract applications with third-party carriers and government health plans.
  • Review provider credentialing and contracting information to ensure completeness and accuracy.
  • Monitor applications and follow-up in a timely manner.
  • Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases, as applicable.
  • Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly.
  • Research new state and payer information and guidelines. 
  • Serve as a go-to person for credentialing team.
  • Assist with escalated credentialing matters.
  • Meet or exceed required timeframes for provider communications, enrollments, and follow-ups.
  • Maintain quality working relationships with internal and external customers.
What we offer you:
  • A close-knit team of talented and skilled individuals
  • Growth opportunities within the organization
  • Competitive salary
  • Healthcare benefits including medical, dental & vision, 401K
  • Flexible PTO
Qualifications:
  • 3-5 years of experience in credentialing and contracting.
  • Knowledge of Commercial Insurance and Government Payor guidelines.
  • Ability to plan, organize, and complete work with competing priorities.
  • Takes accountability for personal productivity and quality of output.
  • Organized and detail-oriented with strong communication and problem-solving skills.
RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing Specialist | Revenue Cycle AR Collections Specialist | Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist #RCMAnalyst | #RevenueCycleCredentialingSpecialist | #InsuranceSpecialist | #RevenueCycleContractingSpecialist | #MedicalBillingSpecialist | #RevenueCycleARCollectionsSpecialist | #BillingandReimbursement Specialist | #BillingSpecialist | #BillingCoordinator | #ClaimsSpecialist | #BillingRepresentative | #CollectionsSpecialist | #ABABillingSpecialist | #ABAClaimsSpecialist | #BehavioralHealthBillingSpecialist | #ABACollectionsSpecialist

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FAQs About Credentialing Team Lead Jobs at Spectrum Billing Solutions

What is the work location for this position at Spectrum Billing Solutions?
This job at Spectrum Billing Solutions is located in Skokie, IL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Spectrum Billing Solutions?
Employer has not shared pay details for this role.
What employment applies to this position at Spectrum Billing Solutions?
Spectrum Billing Solutions lists this role as a Full-time position.
What experience level is required for this role at Spectrum Billing Solutions?
Spectrum Billing Solutions is looking for a candidate with "Director" experience level.
What benefits are offered by Spectrum Billing Solutions for this role?
Spectrum Billing Solutions offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Flexible/Unlimited PTO, and 401k Matching/Retirement Savings for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Spectrum Billing Solutions?
You can apply for this role at Spectrum Billing Solutions either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.