Credentialing Specialist - Remote

Edwards Consulting group is so excited to be hiring with a great healthcare company in NJ! They are booming and need to add staff to their credentialing department. This would be a full-time salaried role with benefits. This is an excellent opportunity to get into an amazing company and also a growing industry!

Job Summary: Assist with credentialing Neurologist, Neurophysiologist, and other clinical personnel as deemed necessary. Prior Neuromonitoring experience is preferred.

Main Job Duties:

• Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports.
• Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.
• Support the contract submission process to ensure confirmation with Corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts.
• Maintain and update on a routine basis the contract organization’s database.
• Produce reports, as requested.
• Coordinate the Corporate-wide data verification process for contracted providers.
• Update contract organization's databases, as necessary. Interface with the credentialing staff to ensure all Health Plan data systems are congruent

Requirements:

• High School Diploma or GED (required)
• Associate degree in Business Admin or Health Care Admin (preferred)
• 1-2 years of experience
• Excel oral and written communication skills
• Attention to detail
• Critical thinking skills
• Experience credentialing Neurologist, and Neurophysiologist is desired

Salary/Hours/Location Info:

• Salary Range 45k-55k
• Hours are Monday-Friday, 8am-5pm
• Job is onsite at San Antonio office (78230 zip code)
• All health safety procedures and measures are being followed