Medical Credentialing Specialist

hace 2 semanas


Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo
Job Description

This is a part-time position working remotely.

Schedule and Location

New York Time, 1PM to 5PM.

About the Role

We are seeking a detail-oriented and experienced Medical Credentialing Specialist 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. This individual will be responsible for navigating the credentialing and contracting process with precision, maintaining compliance with payer requirements, and facilitating favorable contract negotiations.

Main Responsibilities
  1. 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.
Collaboration and Communication
  • Work closely with clinic leadership and other administrative staff to align credentialing and contracting activities with clinic objectives.
  • Provide regular updates on credentialing status and contracting progress.
RequirementsQualifications
  • 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.
    • Attention to detail and a high level of organization.
  • Technical Proficiency: Familiarity with payer portals, credentialing software, and Microsoft Office Suite.
Estimated Salary Range

$40,000-$60,000 per year based on experience.



  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    BruntWork is seeking a skilled Medical Credentialing Specialist to join our team on a permanent remote basis. This is a full-time position.Job Description:The ideal candidate will play a key role in ensuring that our clinics are successfully credentialed and contracted with insurance payers. The individual will be responsible for navigating the credentialing...


  • Bogotá, Bogotá D.E., Colombia Future Group A tiempo completo

    Job Title: Medical Interpreter SpecialistWe are seeking a Medical Interpreter Specialist to provide accurate communication between non-English and English speakers during calls. The ideal candidate will have a strong background in medical terminology and be able to interpret complex medical information with precision.Responsibilities:Interpret medical...

  • Medical Coding Specialist

    hace 2 semanas


    Bogotá, Bogotá D.E., Colombia Bruntwork A tiempo completo

    **Job Overview**Bruntwork is seeking a highly skilled Medical Coding Specialist to join our international team. This role offers the opportunity to work remotely and contribute to the optimization of billing processes and procedures.**Estimated Salary:** $65,000 - $85,000 per year**Scope of Work**As a Medical Coding Specialist, you will be responsible for...


  • Bogotá, Bogotá D.E., Colombia Zimmer Biomet A tiempo completo

    About the RoleAs a Medical Content Specialist at Zimmer Biomet, you will be responsible for preparing Clinical Evaluation Reports (CERs) for regulatory submissions and Post-market Surveillance Plan literature reviews (PSPs) for analysis of existing product clinical performance. This involves conducting searches of peer-reviewed publications, national implant...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    At BruntWork, we're seeking an experienced Medical Billing Specialist to join our international team. This is a remote position that requires a strong understanding of medical coding and billing systems, as well as excellent attention to detail.Job DescriptionThis role involves processing medical bills and insurance claims accurately and efficiently,...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Medical Billing SpecialistWe are seeking a detail-oriented and organized Medical Billing Specialist to join our team at BruntWork. As a Medical Billing Specialist, you will be responsible for processing patient data, including medical records and billing information, submitting and tracking claims with insurance companies, and ensuring accurate and timely...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Job Opportunity: We are seeking a skilled Medical Billing Specialist to join our team at BruntWork. As a key member of our international team, you will work remotely to handle sensitive medical and financial information with utmost confidentiality. Your responsibilities will include collaborating with healthcare providers and insurance companies to resolve...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Job Description:This is a remote position for a skilled Medical Billing Specialist to join our team at BruntWork. The role involves working with sensitive medical and financial information, collaborating with healthcare providers and insurance companies, and contributing to the optimization of billing processes and procedures.The successful candidate will...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    We are seeking a highly skilled Medical Scribe Specialist to join our team at BruntWork. As a key member of our clinical staff, you will play a vital role in assisting physicians with documentation and administrative tasks.This is a full-time remote position working 40 hours per week, Monday through Friday, from 8:00 AM to 5:00 PM California Time (12:00 AM...

  • Medical Scribe Specialist

    hace 3 semanas


    Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    About BruntWorkBruntWork is a forward-thinking organization that values precision and efficiency in its operations. As a leading provider of exceptional services, we seek dedicated individuals to contribute to our team.Job Title: Medical Scribe SpecialistWe are offering a $45,000 - $60,000 per year salary for this position, based on experience. The role...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Job Description:We are seeking a highly skilled Medical Billing Specialist to join our team at BruntWork.About the Role:This is a remote position with flexible scheduling options, allowing you to maintain a healthy work-life balance.You will be responsible for handling sensitive medical and financial information with confidentiality and integrity.As a key...


  • Bogotá, Bogotá D.E., Colombia Ipsen A tiempo completo

    Job OverviewIpsen is seeking a skilled Medical Product Specialist to join its team in Colombia. As a key member of our commercial team, you will be responsible for developing and executing strategies to drive business growth in the oncology market.About the RoleThis role involves building and maintaining relationships with healthcare professionals, analyzing...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Job Title: Medical Coding SpecialistJob Description:This is a remote position that requires medical coding and billing expertise. The ideal candidate will have extensive knowledge of ICD-9 and ICD-10 codes and experience with medical coding and billing procedures.Responsibilities:Review provider notes for proper documentation and correct codes.Read and...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Medical Billing SpecialistWe are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team at BruntWork. The successful candidate will be responsible for processing patient data, including medical records and billing information, and ensuring accurate and timely payment for healthcare services.Key Responsibilities:Post...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    This is a remote opportunity to work as a Medical Coding Specialist with BruntWork.Schedule: Monday through Friday between 2pm and 2am California time; 40 hours a weekResponsibilities:Review provider notes for accurate documentation and correct coding.Read and analyze lab results.Offer support and guidance to healthcare providers on documentation...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Job Title: Medical Records SpecialistWe're seeking a detail-oriented Medical Records Specialist to manage medical record requests, communicate with medical providers, and gather essential documentation for our clients.Key Responsibilities:Request medical records from platforms like CIOX, MRO, and ChartSwap.Directly contact medical providers to obtain records...


  • Bogotá, Bogotá D.E., Colombia Ingepsy A tiempo completo

    **Job Title:** Medical Records Specialist - Record Retrieval Expert**Overview:** Ingepsy is seeking a highly experienced and detail-oriented Medical Records Specialist to join our legal support team. The successful candidate will have a proven track record in medical records retrieval, preferably in a legal, healthcare, or insurance setting.**Estimated...


  • Bogotá, Bogotá D.E., Colombia Bruntwork A tiempo completo

    OverviewWe are seeking a detail-oriented and experienced Medical Records Specialist to join Bruntwork's legal support team. This role involves managing medical record requests, communicating with medical providers, and gathering essential documentation for our clients as directed by a paralegal or attorney.Job Summary:The ideal candidate will have experience...


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    Job DescriptionThis is a remote position, and we are looking for a detail-oriented and experienced Medical Records Specialist to join our legal support team. The role involves managing medical record requests, communicating with medical providers, and gathering essential documentation for our clients as directed by a paralegal or attorney.


  • Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo

    We are seeking a detail-oriented Medical Billing Specialist to join our team at BruntWork. The successful candidate will be responsible for processing patient data, including medical records and billing information, and ensuring accurate and timely payment for healthcare services. Key responsibilities include:Posting insurance company payments and/or...