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Medical Credentialing Specialist
hace 3 semanas
**About Bruntwork**
We are seeking a detail-oriented and experienced Medical Clinic Credentialer to join our team at Bruntwork. The ideal candidate will play a key role in ensuring that our clinics are successfully credentialed and contracted with insurance payers.
**Job Summary:** We are offering a remote, freelance position for a skilled medical credentialing specialist. This opportunity allows you to work from the comfort of your own home while contributing to the success of our clinics.
**Responsibilities:
- Credentialing: Manage and complete the credentialing process for providers and clinics with insurance companies.
- Maintain and update provider and clinic information in payer systems and internal databases.
- Ensure timely submission and follow-up of all required documents to meet payer deadlines.
**Contracting:** Facilitate the contracting process between the clinic and insurance payers. Review and analyze contract terms to ensure alignment with clinic goals and compliance with regulations. Negotiate terms, reimbursement rates, and other contract details to secure favorable agreements.
**Payer Relations:** Serve as the primary liaison between the clinic and insurance payers during the credentialing and contracting process. Resolve issues and discrepancies promptly to avoid delays in network inclusion. Build and maintain positive relationships with payer representatives.
**Compliance and Record-Keeping:** Ensure compliance with federal, state, and payer-specific guidelines throughout the credentialing and contracting process. Maintain organized records of all applications, contracts, and correspondence. Monitor and update credentialing and contract renewal timelines to prevent lapses.
**Requirements:
- Experience: Minimum of 1-2 years in medical credentialing, contracting, or payer relations, preferably in a clinical setting.
- Skills: Strong understanding of insurance credentialing and contracting processes. Excellent negotiation and communication skills. Proficient in managing multiple tasks and meeting deadlines.
- Technical Proficiency: Familiarity with payer portals, credentialing software, and Microsoft Office Suite.
**Benefits:** As an independent contractor, you will enjoy the benefits of working from home, including increased flexibility and autonomy. You will also have access to steady freelance work and the opportunity to contribute to the success of our clinics.
**Estimated Salary:** $60,000 - $80,000 per year, depending on experience and qualifications.
